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加速康复外科(ERAS)方案在食管胃急诊手术中的应用:是否可行且合理?

Application of ERAS protocols in esophagogastric emergency surgery: is it feasible and does it make sense?

作者信息

Puccetti Francesco, Elmore Ugo, Rosati Riccardo

机构信息

Department of Gastrointestinal Surgery, San Raffaele Research Hospital, Via Olgettina 60, 20132, Milan (MI), Italy.

出版信息

Updates Surg. 2023 Feb;75(2):383-387. doi: 10.1007/s13304-022-01362-x. Epub 2022 Aug 31.

Abstract

Management and treatment of esophagogastric diseases have been evolving in terms of multimodal approach and quality of care. The recent introduction of standardized perioperative protocols has represented the opportunity to homogenize the multiple factors enhancing patients' recovery after surgery worldwide. A further optimization would lead to the extension of the ERAS program to upper GI emergencies. This review provides a comprehensive collection of scientific basis, current supporting evidence, and potential applicative limitations.

摘要

食管胃疾病的管理和治疗在多模式方法和护理质量方面一直在不断发展。最近引入的标准化围手术期方案为全球范围内统一多种促进患者术后恢复的因素提供了契机。进一步优化将使加速康复外科(ERAS)计划扩展至上消化道急症。本综述全面收集了科学依据、当前的支持证据以及潜在的应用局限性。

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