| Title： | Chinese Experts Consensus on Enhanced Recovery After Esophagectomy (2024 Edition) |
| Edition： | Updated |
| Classification： | Experts consensus |
| Field： | Treatment |
| Countries and regions： | China |
| Guidelines users： | Including but not limited to medical workers related to the surgical treatment of esophageal cancer in medical institutions at all levels. |
| Evidence classification method： | The Evidence Retrieval and Evaluation Group evaluated the included randomized controlled trial studies using the Cochrane Reviewer′s Handbook 5.0.1 criteria, the included cohort studies using the Newcastle-Ottawa Scale, the diagnostic accuracy studies using the QUADAS-2, and the case-series studies using the United Kingdom's National Institute for Clinical Excellence Institute evaluation tool for case series studies. The evaluation process was completed independently by 2 individuals, and if disagreements existed, they were discussed together or resolved by consulting a third party. Quality of evidence and recommendations were graded using the grading of recommen-dations assessment, development and evaluation (GRADE) method. |
| Development unit： | Chinese National Cancer Center; Chinese Association of Thoracic Surgeons; Chinese Society for Thoracic and Cardiovascular Surgery; Chinese Society for Diseases of the Esophagus |
| Registration time: | 2024-02-20 |
| Registration number： | PREPARE-2024CN282 |
| Purpose of the guideline: | Esophagectomy with radical lymphadenectomy is a complex surgery that carries a significant risk of morbidity and mortality for patients with esophageal cancer. The enhanced recovery after surgery (ERAS) protocol aims to improve perioperative care, minimize complications, and accelerate recovery for better outcomes. ERAS is a multimodal approach that can shorten hospital stays, decrease morbidity, and expedite recovery. ERAS components should be viewed as a continuum rather than isolated elements, as they span preoperative, intraoperative, and postoperative periods. In this consensus, we elaborate on the components of an ERAS protocol after esophagectomy, including preoperative nutrition, prehabilitation, counseling, smoking and alcohol cessation, cardiopulmonary evaluation, surgical technique, anesthetic management, intra- and postoperative fluid management and pain relief, mobilization and physiotherapy, enteral and oral feeding, removal of drains, and several other components. |
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