Surgery, Gastroenterology and Oncology
Vol. 25, Nr. 5, Dec 2020
Results of an Enhanced Recovery after Surgery Protocol for Upper Gastrointestinal Surgery at a Super-Tertiary Referral Hospital in Thailand
Thammawat Parakonthun, Thikhamporn Tawantanakorn, Jirawat Swangsri, Tharathorn Suwatthanarak, Nicha Srisuworanan, Voraboot Taweerutchana, Chainarong Phalanusitthepa, Atthaphorn Trakarnsanga, Thawatchai Akaraviputh, Asada Methasate, Vitoon Chinswangwatanakul
ORIGINAL PAPER, Dec 2020
Article DOI: 10.21614/sgo-25-5-248
Background: Enhanced recovery after surgery (ERAS) protocol has been shown to reduce recovery period and postoperative complications. This prospective study aimed to evaluate the short-term outcomes of ERAS in patients who underwent upper gastrointestinal (UGI) surgery.

Methods: Patients who underwent surgery for benign or malignant diseases of the esophagus, esophagogastric junction, or stomach during October 2018-December 2019 were included. Outcomes compared between ERAS and conventional care (CC) included length of hospital stay (LOS), postoperative complications, mortality, recovery, and hospitalization cost.

Results: Eighty-eight (32 ERAS, 56 CC) patients were included. ERAS had shorter LOS (5.5 vs. 12.5 days, p<0.001), earlier time to toleration of oral soft diet (3 vs. 8 days, p<0.001), faster time to first defecation (71.6 vs. 114.5 hours, p<0.001), early ambulation (43.8 vs. 84.6 hours, p=0.010), and reduced hospitalization cost (197,140 vs. 256,315 Thai baht, p<0.032).
C-reactive protein level on postoperative day 1 was significantly lower in ERAS patients (61.3 vs. 87.9 mg L, p=0.027). BMI recovery occurred within 3 and 6 months in ERAS and CC, respectively. There was no significant difference in surgery-related or nonsurgery- related complications between groups. No mortality was observed.

Conclusions: In a UGI surgical setting, ERAS accelerated recovery, reduced LOS, and lowered hospitalization cost.

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Surgery, Gastroenterology and Oncology is indexed in Scopus, CrossRef (DOI: 10.21614/sgo)



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