Main Article Content

Abstract

Background:
Establish protocols to enhance the surgical management (ERAS) can improve outcomes, shortening hospital stay and save resources. Several studies have carried out for colorectal surgery, while a lack of evidence for gastrectomy remains.This study aims to evaluate the impact of ERAS strategies in a large series of patients underwent gastric cancer surgery.
Methods:
This is a propensity score-matched case-control study, comparing an ERAS group with a control group. Data were recorded through a tailored and protected web-based system. Primary outcomes: hospital stay, complications rate. Among the secondary outcomes, there are: POD of mobilization, POD of starting liquid diet and soft solid diet.
Results:
Patients in the ERAS and control groups were 1:1 matched by the closest propensity score on the logit scale and with a Caliber = 0.2. The successful matching resulted in a total sample of 440 patients. The two groups showed no differences in all baseline patients characteristics, type of surgery (P=0.31) and stage of the disease (P=0.61). A benefit in favor of the ERAS management was found in the length of hospital stay (P=0.0004) and complications rate (P=0.001).
Conclusion:
An ERAS program can safely be established in referral centers for gastric cancer, enabling to significantly improve the main clinical outcomes.

Keywords

ERAS Enhanced Recovery After Surgery gastric cancer gastric surgery gastrectomy

Article Details

How to Cite
Giovanardi, F., Falbo, F., Celano, C., Casella, M., & Palisi, M. (2020). The effect of ERAS management in gastric cancer: assessment from the IMIGASTRIC study. Journal of Gastric Surgery, 2(4), Online First. https://doi.org/10.36159/jgs.v2i4.63

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