Changes in Physical Components after Gastrectomy for Adenocarcinoma of Stomach and Esophagogastric Junction
Issued Date
2023-01-01
Resource Type
eISSN
22288082
Scopus ID
2-s2.0-85154575502
Journal Title
Siriraj Medical Journal
Volume
75
Issue
4
Start Page
266
End Page
274
Rights Holder(s)
SCOPUS
Bibliographic Citation
Siriraj Medical Journal Vol.75 No.4 (2023) , 266-274
Suggested Citation
Tawantanakorn T., Phibalyart W., Parakonthun T., Nampoolsuksan C., Suwatthanarak T., Srisuworanan N., Taweerutchana V., Trakarnsanga A., Phalanusitthepha C., Swangsri J., Akaraviputh T., Methasate A., Chinswangwatanakul V. Changes in Physical Components after Gastrectomy for Adenocarcinoma of Stomach and Esophagogastric Junction. Siriraj Medical Journal Vol.75 No.4 (2023) , 266-274. 274. doi:10.33192/smj.v75i4.260962 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/82701
Title
Changes in Physical Components after Gastrectomy for Adenocarcinoma of Stomach and Esophagogastric Junction
Author's Affiliation
Other Contributor(s)
Abstract
Objective: Enhanced Recovery After Surgery (ERAS) is a multidisciplinary approach that aims to optimize perioperative management, promote postoperative recovery, reduce postoperative complications, and improve long-term survival. The current study aimed to evaluate and compare the postoperative physical activity after gastrectomy between patients who underwent upper gastrointestinal surgery according to ERAS and those who underwent surgery based on the conventional care (CC) protocol. Materials and Methods: This prospective and retrospective review enrolled 60 patients (n = 31, ERAS group; n = 29, CC protocol group) diagnosed with adenocarcinoma of the stomach and esophagogastric junction who underwent curative surgical resection. Physical outcomes, including body weight, body mass index, body fat percentage, basal metabolic rate, muscle mass, gait speed, and handgrip strength at the preoperative and immediate postoperative periods and at 1, 3, and 6 months postoperatively, were compared between the ERAS and CC protocol groups. Results: One month after surgery, the ERAS group had a lower percentage of body weight loss than the CC protocol group. There was no significant difference in terms of muscle mass loss between the two groups. The hand grip strength of the ERAS group increased after surgery. Further, at 1 month postoperatively, the gait speed of patients who underwent total gastrectomy in the ERAS group was significantly higher than that of patients in the CC protocol group. Conclusion: ERAS for gastrectomy was associated with a lower percentage of weight loss and a trend toward physical activity enhancement in the early postoperative period.