Enhanced Recovery After Surgery for gastrectomy

Enhanced Recovery After Surgery (ERAS) aims to mitigate surgical stress and facilitate postoperative recovery through implementing evidence-based practices for perioperative management.The key components of ERAS include preoperative counseling, avoidance of prolonged fasting and bowel preparation, use of minimally invasive surgical techniques, maintenance of normothermia, use of multimodal pain management strategies, provision of early oral nutrition, avoidance of drains or nasogastric tubes, and early mobilization.The adoption of ERAS protocols for gastrectomy has been relatively slow, potentially owing to variations in patient demographics, surgical procedures, and healthcare environments, particularly in Asian settings.However, numerous studies, including randomized controlled trials, have demonstrated the effectiveness of ERAS in patients undergoing gastrectomy.These studies have shown reductions in the duration of hospital stay, accelerated recovery, and decreased medical costs.Despite these positive outcomes, concerns regarding increased readmissions persist as ERAS is implemented.Additionally, most previous studies were limited in scale and confined to a single institution, highlighting the necessity for robust evidence to substantiate the clinical benefits of ERAS.