Results of an Enhanced Recovery after Surgery Protocol for Upper Gastrointestinal Surgery at a Super-Tertiary Referral Hospital in Thailand

Parakonthun, Thammawat; Tawantanakorn, Thikhamporn; Swangsri, Jirawat; Suwatthanarak, Tharathorn; Srisuworanan, Nicha; Taweerutchana, Voraboot; Phalanusitthepa, Chainarong; Trakarnsanga, Atthaphorn; Akaraviputh, Thawatchai; Methasate, Asada; Chinswangwatanakul, Vitoon

doi:10.21614/sgo-25-5-248

Cited by 3 publications

(4 citation statements)

References 24 publications

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“…Prior to surgery, all patients received information about ERAS and the CC protocol. 8,12 Patients with active cancer other than gastric cancer and EGJ cancer or those who were for palliative surgery were excluded. Conventional perioperative care was defined as normal perioperative management in which the treatment is dependent on individual surgeons and based on the experience and knowledge of the surgeon.…”

Section: Methodsmentioning

confidence: 99%

“…Siriraj Hospital developed an intensive care program and established ERAS for patients undergoing upper gastrointestinal surgery. 12 The current study aimed to evaluate and compare postoperative physical activity after gastrectomy between patients who underwent upper gastrointestinal surgery based on ERAS and those who had surgery according to the CC protocol.…”

Section: Introductionmentioning

confidence: 99%

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Changes in Physical Components after Gastrectomy for Adenocarcinoma of Stomach and Esophagogastric Junction

et al. 2023

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Objective: Enhanced Recovery After Surgery (ERAS) is a multidisciplinary approach that aims to optimize perioperative management, promote postoperative recovery, reduce postoperative complications, and improve long-term survival. The current study aimed to evaluate and compare the postoperative physical activity after gastrectomy between patients who underwent upper gastrointestinal surgery according to ERAS and those who underwent surgery based on the conventional care (CC) protocol. Materials and Methods: This prospective and retrospective review enrolled 60 patients (n = 31, ERAS group; n = 29, CC protocol group) diagnosed with adenocarcinoma of the stomach and esophagogastric junction who underwent curative surgical resection. Physical outcomes, including body weight, body mass index, body fat percentage, basal metabolic rate, muscle mass, gait speed, and handgrip strength at the preoperative and immediate postoperative periods and at 1, 3, and 6 months postoperatively, were comparedbetween the ERAS and CC protocol groups. Results: One month after surgery, the ERAS group had a lower percentage of body weight loss than the CC protocol group. There was no significant difference in terms of muscle mass loss between the two groups. The hand grip strength of the ERAS group increased after surgery. Further, at 1 month postoperatively, the gait speed of patients who underwent total gastrectomy in the ERAS group was significantly higher than that of patients in the CC protocol group. Conclusion: ERAS for gastrectomy was associated with a lower percentage of weight loss and a trend toward physical activity enhancement in the early postoperative period.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Changes in Physical Components after Gastrectomy for Adenocarcinoma of Stomach and Esophagogastric Junction

et al. 2023

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“…Continuously improving operative techniques and perioperative strategies have helped to minimize adverse outcomes. Enhanced recovery after surgery (ERAS) protocol was proposed as an adjunct to standard care in upper gastrointestinal surgery [ 4 ]. The ERAS protocol involves preoperative education and counseling to ensure that the patient is well-prepared prior to surgery.…”

Section: Introductionmentioning

confidence: 99%

“…This study was conducted before the routine application of the ERAS protocol for gastrectomy at Siriraj Hospital [ 4 , 7 ]. The aim of this study was to investigate the prevalence of and factors associated with complication after gastrectomy for gastric or esophagogastric cancer compared among surgical purpose (curative vs. palliative), surgical extent (subtotal vs. total vs. extended), and patient age (adult vs. older adult vs. octogenarian).…”

Section: Introductionmentioning

confidence: 99%

Factors associated with complication after gastrectomy for gastric or esophagogastric cancer compared among surgical purpose, surgical extent, and patient age: Retrospective study from a high volume center in Thailand

Parakonthun

Sirisut

Nampoolsuksan

et al. 2022

Annals of Medicine &Amp; Surgery

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Higher compliance with the enhanced recovery after surgery protocol improves postoperative recovery and 6-month mortality in upper gastrointestinal surgery

Parakonthun,

Gonggetyai,

Nampoolsuksan

et al. 2024

Surgery in Practice and Science

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Results of an Enhanced Recovery after Surgery Protocol for Upper Gastrointestinal Surgery at a Super-Tertiary Referral Hospital in Thailand

Cited by 3 publications

References 24 publications

Changes in Physical Components after Gastrectomy for Adenocarcinoma of Stomach and Esophagogastric Junction

Changes in Physical Components after Gastrectomy for Adenocarcinoma of Stomach and Esophagogastric Junction

Factors associated with complication after gastrectomy for gastric or esophagogastric cancer compared among surgical purpose, surgical extent, and patient age: Retrospective study from a high volume center in Thailand

Higher compliance with the enhanced recovery after surgery protocol improves postoperative recovery and 6-month mortality in upper gastrointestinal surgery

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