title: Feasibility of enhanced recovery after surgery in gastric surgery: a retrospective study.
abstract: BACKGROUND
  Enhanced recovery after surgery (ERAS) programs have been reported to be feasible and useful for maintaining physiological function and facilitating recovery after colorectal surgery. The feasibility of such programs in gastric surgery remains unclear. This study assessed whether an ERAS program is feasible in patients who undergo gastric surgery.
  
  
  METHODS
  The subjects were patients who underwent gastric surgery between June 2009 and February 2011 at the Department of Gastrointestinal Surgery, Kanagawa Cancer Center. They received perioperative care according to an ERAS program. All data were retrieved retrospectively. The primary end point was the incidence of postoperative complications. The secondary end point was postoperative outcomes.
  
  
  RESULTS
  A total of 203 patients were studied. According to the Clavien-Dindo classification, the incidence of ≥ grade 2 postoperative complications was 10.8% and that of ≥ grade 3 complications was 3.9%. Nearly all patients did not require delay of meal step-up (95.1%). Only 6 patients (3.0%) underwent reoperation. The median postoperative hospital stay was 9 days. Only 4 patients (2.0%) required readmission. There was no mortality.
  
  
  CONCLUSIONS
  Our results suggest that our ERAS program is feasible in patients who undergo gastric surgery.
authors.affiliation: Department of Gastrointestinal Surgery, Kanagawa Cancer Center, 1-1-2 Nakao, Asahi, 241-0815 Yokohama, Kanagawa, Japan. takay0218@yahoo.co.jp.
authors.forename: Takanobu
authors.initials: T
authors.lastname: Yamada
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Hayashi
authors.forename: Toru
authors.initials: T
authors.lastname: Aoyama
authors.forename: Junya
authors.initials: J
authors.lastname: Shirai
authors.forename: Hirohito
authors.initials: H
authors.lastname: Fujikawa
authors.forename: Haruhiko
authors.initials: H
authors.lastname: Cho
authors.forename: Takaki
authors.initials: T
authors.lastname: Yoshikawa
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Rino
authors.forename: Munetaka
authors.initials: M
authors.lastname: Masuda
authors.forename: Hideki
authors.initials: H
authors.lastname: Taniguchi
authors.forename: Ryoji
authors.initials: R
authors.lastname: Fukushima
authors.forename: Akira
authors.initials: A
authors.lastname: Tsuburaya
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D020127:Recovery of Function; D012189:Retrospective Studies; D013270:Stomach / Q000503:physiopathology*; D013274:Stomach Neoplasms / Q000601:surgery*