Background The management of patients needing a multidisciplinary approach has to be planned with the objective of a better administration of care, greater collaboration between medical staff, patients and relatives, better patients education, reduce possible complications related not only to surgery but also to hospital stay, increasing patient adherence to the proposed treatments. Several institutions are now looking for the application of the suggestions contained in the ERAS society guidelines. This is especially important in surgical oncology. We report the experience of our center in the development of tailored guidelines for patients undergoing gastrectomy, based on the evidence of the literature and adapted on the availability of personnel and equipment in our institute. Methods An Institutional permanent working group was established at St. Mary’s Hospital of Terni, Italy. An evidence‐based comprehensive research was made to find optimal perioperative care management for patients undergoing gastrectomy. Evidence and recommendations were deeply evaluated and considered together with the items from the ERAS society guidelines. Results A complete patient pathway has been established from the first outpatient visit to discharge. All ERAS items were considered and adapted to our hospital care environment. Education, nutrition, anesthesiologist care, surgical approach and ward organization are the main points of strength highlighted in the present work. Conclusion This is an institutional evidence‐based protocol that show a comprehensive management to propose for patients with gastric cancer eligible for enhanced surgical pathways.
Enhanced Recovery After Surgery (ERAS) Protocol for Gastrectomy: A Tailored Program Developed at a Gastric Cancer Unit
Scarcella M;
2020
Abstract
Background The management of patients needing a multidisciplinary approach has to be planned with the objective of a better administration of care, greater collaboration between medical staff, patients and relatives, better patients education, reduce possible complications related not only to surgery but also to hospital stay, increasing patient adherence to the proposed treatments. Several institutions are now looking for the application of the suggestions contained in the ERAS society guidelines. This is especially important in surgical oncology. We report the experience of our center in the development of tailored guidelines for patients undergoing gastrectomy, based on the evidence of the literature and adapted on the availability of personnel and equipment in our institute. Methods An Institutional permanent working group was established at St. Mary’s Hospital of Terni, Italy. An evidence‐based comprehensive research was made to find optimal perioperative care management for patients undergoing gastrectomy. Evidence and recommendations were deeply evaluated and considered together with the items from the ERAS society guidelines. Results A complete patient pathway has been established from the first outpatient visit to discharge. All ERAS items were considered and adapted to our hospital care environment. Education, nutrition, anesthesiologist care, surgical approach and ward organization are the main points of strength highlighted in the present work. Conclusion This is an institutional evidence‐based protocol that show a comprehensive management to propose for patients with gastric cancer eligible for enhanced surgical pathways.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
