REVIEW ARTICLE
Nutritional aspects of enhanced recovery after esophagectomy with gastric conduit reconstruction
B. Feike Kingma MD,
Elles Steenhagen RD,
Jelle P. Ruurda MD, PhD,
Richard van Hillegersberg MD, PhD,
B. Feike Kingma MD
Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands
Search for more papers by this authorElles Steenhagen RD
Department of Dietetics, University Medical Center Utrecht, Utrecht, The Netherlands
Search for more papers by this authorJelle P. Ruurda MD, PhD
Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands
Search for more papers by this authorCorresponding Author
Richard van Hillegersberg MD, PhD
Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands
Correspondence
Richard van Hillegersberg, MD, PhD, Department of Surgery, University Medical Center Utrecht, PO Box 85500, 3508 GA, Utrecht, The Netherlands.
Email: [email protected]
Search for more papers by this authorB. Feike Kingma MD,
Elles Steenhagen RD,
Jelle P. Ruurda MD, PhD,
Richard van Hillegersberg MD, PhD,
B. Feike Kingma MD
Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands
Search for more papers by this authorElles Steenhagen RD
Department of Dietetics, University Medical Center Utrecht, Utrecht, The Netherlands
Search for more papers by this authorJelle P. Ruurda MD, PhD
Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands
Search for more papers by this authorCorresponding Author
Richard van Hillegersberg MD, PhD
Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands
Correspondence
Richard van Hillegersberg, MD, PhD, Department of Surgery, University Medical Center Utrecht, PO Box 85500, 3508 GA, Utrecht, The Netherlands.
Email: [email protected]
Search for more papers by this authorAbstract
Enhanced Recovery After Surgery (ERAS) aims to accelerate recovery by a set of multimodality management strategies. For esophagectomy, several nutritional elements of ERAS can be safely introduced and are advised in routine practice, including preadmission counseling to screen and treat for potential malnutrition, shortened preoperative fasting, and carbohydrate loading. However, the timing of oral intake and the use of routine nasogastric decompression remain matter of debate after esophagectomy. Furthermore, more research is needed on future developments such as perioperative immunonutrition.
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