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Postoperative Complications in Patients with Esophageal Cancer

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Physical Therapy and Research in Patients with Cancer

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Abstract

Esophagectomy is a complex procedure that is associated with postoperative complications, morbidity, and mortality. In recent years, several reports have shown the efficacy of a multimodal approach, termed the enhanced recovery after surgery (ERAS), in the preoperative, intraoperative, and postoperative periods of esophagectomy. The ERAS protocol is composed of 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. Prehabilitation and early mobilization are the core components of the ERAS. This multimodal approach, including prehabilitation and early mobilization, cannot only improve physical function and performance and activities of daily living (ADL) but also reduce postoperative complications, morbidity and mortality, shorten the length of hospital stay, and prevent unplanned readmissions following esophagectomy.

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Authors and Affiliations

  1. Division of Rehabilitation Medicine, Kobe University Hospital, Kobe, Japan

    Junichiro Inoue

  2. Department of Physical Activity Research, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan

    Rei Ono

  3. Kobe University Graduate School of Health Sciences, Kobe, Japan

    Rei Ono

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  1. Junichiro Inoue
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  2. Rei Ono
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Correspondence to Junichiro Inoue .

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Editors and Affiliations

  1. Department of Physical Therapy, School of Health Sciences, Fukushima Medical University, Fukushima, Fukushima, Japan

    Shinichiro Morishita

  2. Division of Rehabilitation Medicine, Kobe University Hospital, Kobe, Hyogo, Japan

    Junichiro Inoue

  3. Department of Physical Therapy, Faculty of Rehabilitation, Kansai Medical University, Hirakata, Osaka, Japan

    Jiro Nakano

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Inoue, J., Ono, R. (2022). Postoperative Complications in Patients with Esophageal Cancer. In: Morishita, S., Inoue, J., Nakano, J. (eds) Physical Therapy and Research in Patients with Cancer. Springer, Singapore. https://doi.org/10.1007/978-981-19-6710-8_15

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