ERAS: Improving outcome in the cachectic HPB patient

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Abstract

The enhanced recovery after surgery (ERAS) program has reduced postoperative morbidity and duration of hospital stay but not mortality in patients undergoing hepatopancreatobiliary (HPB) surgery. Many HPB patients suffer from cancer cachexia, a syndrome of severe weight and muscle loss. This may affect outcomes of HPB surgery even within an ERAS program. A tailored ERAS approach may be essential in further improving outcome in this vulnerable patient category.

Original languageEnglish
Pages (from-to)617-622
Number of pages6
JournalJournal of Surgical Oncology
Volume116
Issue number5
DOIs
Publication statusPublished - 1 Oct 2017

Keywords

  • body composition
  • cancer cachexia
  • enhanced recovery after surgery
  • hepatopancreatobiliary surgery
  • outcome
  • COLORECTAL LIVER METASTASES
  • RANDOMIZED CONTROLLED-TRIALS
  • INTERNATIONAL STUDY-GROUP
  • C-REACTIVE PROTEIN
  • PANCREATIC EXOCRINE INSUFFICIENCY
  • MUSCLE RADIATION ATTENUATION
  • ADIPOSE-TISSUE CONTENT
  • ACUTE-PHASE RESPONSE
  • COMPOSITE END-POINT
  • ENHANCED RECOVERY

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