Health Condition 1: C189- Malignant neoplasm of colon, unspecified Health Condition 2: C159- Malignant neoplasm of esophagus, unspecified Health Condition 3: C23- Malignant neoplasm of gallbladder Health Condition 4: C269- Malignant neoplasm of ill-definedsites within the digestive system Health Condition 5: C228- Malignant neoplasm of liver, primary, unspecified as to type Health Condition 6: C218- Malignant neoplasm of overlappingsites of rectum, anus and anal canal Health Condition 7: C259- M
Conditions
Interventions
Intervention1: Enhanced Recovery after Surgery(ERAS) protocol: Implementation of ERAS protocol which includes preoperative,intra operative and post operative components
Preoperative:
1.Pre admission
Sponsors
DR BRAIRCH AIIMS
Eligibility
Inclusion criteria
Inclusion criteria: Patient undergoing surgery for gastrointestinal (G.I) malignancy (upper G.I, lower G.I, hepatobiliary and pancreatic surgeries ) with or without history of NACT/RT (neo adjuvant chemotherapy and radiotherapy) in the past, of age 18-70years, ASA grade 1-3
Exclusion criteria
Exclusion criteria: 1. Patients with documented delayed gastric emptying or slow G.I motility 2. Obesity 3. Emergency surgeries and Palliative surgeries 4. Gastric outlet obstruction (G.O.O) 5. Patients undergoing surgery for recurrence 6. Patient refusal
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Compliance rate of ERAS protocolTimepoint: During pre operative, intra operative and post operative period till discharge of the patient | — |
Secondary
| Measure | Time frame |
|---|---|
| Challenges experienced during implementation of ERAS protocolTimepoint: During pre operative, intra operative and post operative period till discharge of the patient;Compliance rate of individual components of ERAS protocol Timepoint: During pre operative, intra operative and post operative period till discharge of the patient;Complications (Clavien-Dindo classification)Timepoint: During pre operative, intra operative and post operative period till discharge of the patient;Length of hospital stayTimepoint: Primary length of stay:From the day of surgery until discharge of the patient Total length of stay: From the day of admission until discharge of the patient | — |
Countries
India
Contacts
Public ContactDr Ragiri Surya Theja
AIIMS
Outcome results
None listed