• Takanobu Yamada, Tsutomu Hayashi, Toru Aoyama, Junya Shirai, Hirohito Fujikawa, Haruhiko Cho, Takaki Yoshikawa, Yasushi Rino, Munetaka Masuda, Hideki Taniguchi, Ryoji Fukushima, and Akira Tsuburaya.
• Department of Gastrointestinal Surgery, Kanagawa Cancer Center, 1-1-2 Nakao, Asahi, 241-0815 Yokohama, Kanagawa, Japan. takay0218@yahoo.co.jp.
• Bmc Surg. 2014 Jan 1;14:41.

BackgroundEnhanced 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.MethodsThe 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.ResultsA 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.ConclusionsOur results suggest that our ERAS program is feasible in patients who undergo gastric surgery.

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