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ERAS for Gastric Surgery

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Enhanced Recovery after Surgery

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Abstract

The enhanced recovery after surgery (ERAS) protocol first established in the colorectal surgery has now been extended to application to various types of surgical procedures such as gastrectomy. Many gastric surgeons consider that it is feasible and useful to apply most of the ERAS elements to gastric surgery, but one of the greatest concerns for gastric surgeons is early postoperative feeding, especially early oral feeding.

The evidence to date now shows little concern of increased morbidity by early oral feeding in gastric surgery patients. However, in contrast to colonic surgery, preoperative malnutrition is more frequent, and postoperative intake is more restricted in gastric surgery patients even though they can eat early in their postoperative course. Thus, some patients need an individualized approach because of these specific characteristics of gastric surgery that differ from those of colonic surgery. Early enteral tube feeding is a good option for those with preoperative malnutrition and those predicted to have poor oral intake after surgery. Also, patient-controlled feeding (selection of diet by patients) seems promising and should be further investigated.

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Authors and Affiliations

  1. Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan

    Ryoji Fukushima

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  1. Ryoji Fukushima
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Correspondence to Ryoji Fukushima .

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Editors and Affiliations

  1. Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan

    Ryoji Fukushima

  2. Department of Surgery, Kansai Medical University, Hirakata, Osaka, Japan

    Masaki Kaibori

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Fukushima, R. (2018). ERAS for Gastric Surgery. In: Fukushima, R., Kaibori, M. (eds) Enhanced Recovery after Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-10-6796-9_9

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  • DOI: https://doi.org/10.1007/978-981-10-6796-9_9

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  • Publisher Name: Springer, Singapore

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  • Online ISBN: 978-981-10-6796-9

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