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Perioperative Care and Management of Post-Operative Complications

  • Andrew R. Brownlee
  • Mark K. Ferguson
Chapter

Abstract

As perioperative care plans become more complex and patient-centered, patient education and involvement are more essential. Predictors of adverse outcomes after esophagectomy include low spirometry, extremes of body mass index, advanced age, and neoadjuvant therapy. Perioperative care plans as part of enhanced recovery after surgery (ERAS) pathways include interventions designed to minimize the adverse impact of surgery on the patient, reduce postoperative complications, shorten duration of hospital stay, and lower costs. Despite improved risk stratification and interventions focused on modifiable risk factors, adverse outcomes have an important negative impact on hospital length of stay, morbidity and mortality. The most common postoperative complications are pneumonia, atrial fibrillation, anastomotic leak and chyle leak. Early identification and timely intervention are essential to minimize the effects of these potentially devastating complications.

Keywords

Esophagectomy Esophageal cancer Preoperative preparation Enhanced recovery Complications Complications management 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.The University of ChicagoChicagoUSA

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