Is Enhanced Recovery after Gastric Surgery Feasible for Gastric Cancer in Our Setup
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 3
Abstract
Background: Enhanced recovery after surgery (ERAS) is a new concept of perioperative patient care that focuses on the minimization of impact of surgery on patients homeostasis. The concept is being routinely practised in colorectal surgeries but there are only a few studies on its application and safety in Upper Gastrointestinal surgeries. We undertook this study to look for the advantages and feasibility of ERAS in Gastric Resections in our Institute. Methods: This Prospective study consisted of 100 patients randomly assigned to two groups, ERAS group (n= 50) and Control Or Traditional group(n= 50), operated in the Department of Surgery between 2013 and 2016. All patients managed as per ERAS protocol were compared with controls in terms of time of mobilization, appearance of bowel function, initiation of enteral feeding, development of complications and length of hospital stay. Data was recorded and analysed. Results: Patients in the ERAS group were mobile early (on zero post op day VS control on 1pod),NG tubes were removed earlier (2nd POD VS 3RD – 4 TH POD ),resumed orals earlier (ON 3RD POD VS 5TH POD), bowel functional returned back to normal much earlier than those in control group . Hospital stay was much lower in ERAS group (mean 5 days vs 8.5 days) .Patients in the both groups were comparable in terms of postoperative complications .Readmission within 30 days of Discharge was higher for ERAS Group compared to Control (4%vs0.0%) Conclusion: The principles of ERAS in Gastric Resections are applicable and beneficial and decreases the hospital stay without increasing the risk of complications.
Authors and Affiliations
Mubashir A Shah
Keywords
Related Articles
- EP ID EP511543
- DOI -
- Views 48
- Downloads 0
Endovascular Treatment of Carotid Cavernous Fistulae: A Study of Management and Outcome
Background: Carotid cavernous fistulae (CCF's) are spontaneous or acquired communications between the carotid artery and the cavernous sinus and are commonly associated with acute visual loss. The presenting complaints d...
Intracranial Hemorrhage in Dengue Fever: A Case Series
Background- Recently it is seen that clinical profile of atypical presentations in dengue fever is expending and these are being reported more frequently during last decade. Although there are many causes of Intracranial...
Open repair of Inguinal Hernia done under Local Anesthesia: Results of one year follow-up
Inguinal hernia is a common condition requiring surgical repair, which is conventionally performed under general or regional anesthesia. The area of open repair is usually limited and hence amenable under local anesthesi...
Clinical Presentation, Evaluation and Management of Liver Abscess
Liver abscess is a major tropical disease of the gastrointestinal system. The liver abscess is mainly classified into amebic and pyogenic. Pyogenic liver abscess which used to be mainly tropical in location is now more c...
A Study on Pulmonary Manifestations and Clinical Outcome of Patients Hospitalized with H1N1 Infection
H1N1 fever (swine flu) is caused by a triple reassorted influenza virus which has got antigenic elements from swine, avian and human influenza virus. The first case of current pandemic was reported from Mexico in March 2...