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Nutritional aspects of enhanced recovery after esophagectomy with gastric conduit reconstruction
Author(s) -
Kingma B. Feike,
Steenhagen Elles,
Ruurda Jelle P.,
van Hillegersberg Richard
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.24827
Subject(s) - medicine , esophagectomy , perioperative , malnutrition , intensive care medicine , decompression , surgery , general surgery , esophageal cancer , cancer
Enhanced Recovery After Surgery (ERAS) aims to accelerate recovery by a set of multimodality management strategies. For esophagectomy, several nutritional elements of ERAS can be safely introduced and are advised in routine practice, including preadmission counseling to screen and treat for potential malnutrition, shortened preoperative fasting, and carbohydrate loading. However, the timing of oral intake and the use of routine nasogastric decompression remain matter of debate after esophagectomy. Furthermore, more research is needed on future developments such as perioperative immunonutrition.