ERAS: Improving outcome in the cachectic HPB patient. Issue 5 (2nd August 2017)

• Record Type: Journal Article
• Authors: van Dijk, David P.J.; van Woerden, Victor; Cakir, Hamit; den Dulk, Marcel; Olde Damink, Steven W.M.; Dejong, Cornelis H.C.
• Other Names: Schmidt Carl R. guestEditor.
• Is Part Of: Journal of surgical oncology. Volume 116:Issue 5(2017)
• Page Start: 617
• Page End: 622
• Publication Date: 2017-08-02
• Subjects: body composition -- cancer cachexia -- enhanced recovery after surgery -- hepatopancreatobiliary surgery -- outcome; Cancer -- Surgery -- Periodicals; Neoplasms -- Periodicals; 616
• DOI: 10.1002/jso.24767
• Languages: English
• ISSNs: 0022-4790

Abstract

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.