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ERAS: Improving outcome in the cachectic HPB patient
Author(s) -
van Dijk David P.J.,
van Woerden Victor,
Cakir Hamit,
den Dulk Marcel,
Olde Damink Steven W.M.,
Dejong Cornelis H.C.
Publication year - 2017
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.24767
Subject(s) - medicine , cachexia , weight loss , sarcopenia , prehabilitation , cancer , cancer cachexia , surgery , intensive care medicine , obesity , physical therapy
The enhanced recovery after surgery (ERAS) program has reduced postoperative morbidity and duration of hospital stay but not mortality in patients undergoing hepatopancreatobiliary (HPB) surgery. Many HPB patients suffer from cancer cachexia, a syndrome of severe weight and muscle loss. This may affect outcomes of HPB surgery even within an ERAS program. A tailored ERAS approach may be essential in further improving outcome in this vulnerable patient category.