ERAS, Esophageal Diseases
Conditions
Brief summary
Application of the perioperative enhanced recovery protocol has allowed to carry out esophagectomy to the patients with severe comorbidities and has led reducing the risks of severe postoperative complications.
Detailed description
The clinical trial included the parients who participated in the protocol ERAS since 2011, who uderwent esophagectomy with simultaneous reconstruction. The parients had benign or malignant esophageal diseases. The ERAS protocol consisted of components of perioperative recovery. The number of patients until now has reached 400 patients. During trial there was modifications of aspects of ERAS protocol such as a rejection of nasogastric tube or cervical drenage. The role of multidisplinary team is the main success of the result of the implemented ERAS protocol.
Interventions
PROCEDUREesophagectomy with simultaneous reconstruction
Subtotal resection of esophagus and simultaneous reconstruction by gastric pull-up or colon conduit
Sponsors
Vishnevsky Center of Surgery
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
All the patients over 18 years old with esophageal diseases who are required surgical treatment include in trial.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* all patients with esophageal diseases
Exclusion criteria
* before 18 years old * who do not need surgery as a treatment * who not underwent simultaneous recontruction
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| mortality | 30 days | the rate of mortality after surgery |
| morbidity | 30 days | the rate of morbidity after surgery |
Countries
Russia
Outcome results
None listed