Anesthesia for Esophagectomy

Carney, Adam; Dickinson, M.

doi:10.1016/j.anclin.2014.11.009

Cited by 32 publications

(26 citation statements)

References 154 publications

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“…The ERAS program and intraoperative GDT are expected to reduce the incidence of complications, such as anastomotic leakage and pneumonia after oesophagectomy, and to shorten LOS [24]. However, the present study did not show a decrease in either LOS or the incidence of complications within 30 days after surgery.…”

Section: Discussioncontrasting

confidence: 79%

Effects of goal-directed fluid therapy on enhanced postoperative recovery: An interventional comparative observational study with a historical control group on oesophagectomy combined with ERAS program

Taniguchi

Sasaki

Fujita

et al. 2018

Clinical Nutrition ESPEN

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Section: Discussioncontrasting

confidence: 79%

Effects of goal-directed fluid therapy on enhanced postoperative recovery: An interventional comparative observational study with a historical control group on oesophagectomy combined with ERAS program

Taniguchi

Sasaki

Fujita

et al. 2018

Clinical Nutrition ESPEN

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“…However, biological age, co-morbidity, cardiopulmonary capacity, and nutritional status should be considered prior to consideration of extensive surgery, and patients should be assessed by an experienced anaesthetist. 32 Consultation of cardiologists and dietitians, and a treadmill test and spirometry can add valuable information. 33,34 For older patients, oncogeriatric assessment may be helpful prior to initiating therapy.…”

Section: Operabilitymentioning

confidence: 99%

Oesophageal cancer

et al. 2017

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SummaryOesophageal cancer is a clinically challenging disease requiring a multidisciplinary approach.The extensive treatment may be associated with serious limitations in health-related quality of life and yet still a poor prognosis. Recent decades have witnessed a gradual improvement in prognosis in many countries. Endoscopic procedures have increasingly been used in the treatment of premalignant and early oesophageal tumours. Neoadjuvant therapy with chemotherapy or chemoradiotherapy has supplemented surgery as standard treatment of locally advanced oesophageal cancer. Surgery has become more standardised and centralised. There are several therapeutic alternatives for palliative treatment. This review aims to provide insights into the current clinical management, on-going controversies and future needs in oesophageal cancer.3

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“…At the time of diagnosis, esophageal cancer patients are often affected by symptoms such as dysphagia, inadequate nutritional intake [27], involuntary weight loss [28], fatigue [4], and loss of skeletal muscle mass [29,30], resulting in a suboptimal state for treatment [31,32]. The period preceding surgery presents an opportunity to ensure that patients are in the best possible condition.…”

Section: Pre-optimizationmentioning

confidence: 99%

Nutrition in peri-operative esophageal cancer management

Steenhagen

Vulpen

Hillegersberg

et al. 2017

Expert Review of Gastroenterology & Hepatology

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Introduction: Nutritional status and dietary intake are increasingly recognized as essential areas in esophageal cancer management. Nutritional management of esophageal cancer is a continuously evolving field and comprises an interesting area for scientific research. Areas covered: This review encompasses the current literature on nutrition in the pre-operative, perioperative, and post-operative phases of esophageal cancer. Both established interventions and potential novel targets for nutritional management are discussed. Expert commentary: To ensure an optimal pre-operative status and to reduce peri-operative complications, it is key to assess nutritional status in all pre-operative esophageal cancer patients and to apply nutritional interventions accordingly. Since esophagectomy results in a permanent anatomical change, a special focus on nutritional strategies is needed in the post-operative phase, including early initiation of enteral feeding, nutritional interventions for post-operative complications, and attention to longterm nutritional intake and status. Nutritional aspects of pre-optimization and peri-operative management should be incorporated in novel Enhanced Recovery After Surgery programs for esophageal cancer.ARTICLE HISTORY

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Anesthesia for Esophagectomy

Cited by 32 publications

References 154 publications

Effects of goal-directed fluid therapy on enhanced postoperative recovery: An interventional comparative observational study with a historical control group on oesophagectomy combined with ERAS program

Effects of goal-directed fluid therapy on enhanced postoperative recovery: An interventional comparative observational study with a historical control group on oesophagectomy combined with ERAS program

Oesophageal cancer

Nutrition in peri-operative esophageal cancer management

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