Our Summary

This study investigated whether the day of the week a gastrectomy (stomach removal surgery) was performed could affect the outcome of the surgery and adherence to the Enhanced Recovery After Surgery (ERAS) protocol. The ERAS protocol is a set of measures to improve recovery after surgery. Researchers divided patients who had this surgery for stomach cancer between 2017 and 2021 into two groups: those who had surgery early in the week (Monday to Wednesday) and those who had surgery later in the week (Thursday to Friday). They found that both groups had similar pre-surgery characteristics and similar adherence to the ERAS protocol. Additionally, there was no significant difference in the length of hospital stay, complications, or mortality between the two groups. Thus, the researchers concluded that the day of the week the surgery is performed does not significantly impact the success of the ERAS measures or the surgical outcomes.

FAQs

  1. Does the day of the week a gastrectomy is performed affect the outcome of the surgery?
  2. Does the day of surgery impact adherence to the Enhanced Recovery After Surgery (ERAS) protocol?
  3. Was there a significant difference in the length of hospital stay, complications, or mortality between patients who had surgery early in the week and those who had it later in the week?

Doctor’s Tip

A helpful tip a doctor might tell a patient about gastrectomy is to follow the ERAS protocol closely before and after surgery to optimize recovery and minimize complications. This may include measures such as early mobilization, pain management, and nutrition support. It’s also important to follow any post-operative instructions given by your healthcare team to ensure a smooth recovery process.

Suitable For

Patients who are typically recommended gastrectomy include those with stomach cancer, gastrointestinal stromal tumors, severe peptic ulcers, and other conditions that cannot be treated with less invasive methods. Additionally, patients who have not responded to other treatments or have a high risk of developing complications from their condition may also be recommended for gastrectomy.

Timeline

Before gastrectomy:

  1. Diagnosis of stomach cancer: Patients may experience symptoms such as abdominal pain, unintentional weight loss, difficulty swallowing, and nausea, leading to a diagnosis of stomach cancer.

  2. Preoperative assessments: Patients undergo various tests and evaluations to determine their overall health and suitability for surgery, including blood tests, imaging studies, and consultations with their medical team.

  3. Preoperative preparation: Patients may need to follow specific dietary guidelines, stop certain medications, and undergo bowel preparation to reduce the risk of complications during surgery.

  4. Informed consent: Patients meet with their surgical team to discuss the risks and benefits of gastrectomy, as well as alternative treatment options, before providing consent for the procedure.

After gastrectomy:

  1. Recovery in the hospital: Patients are closely monitored in the hospital for complications such as infection, bleeding, and digestive issues. Pain management and mobility exercises are also important aspects of recovery.

  2. Transition to a new diet: After gastrectomy, patients need to gradually reintroduce solid foods and adjust their eating habits to accommodate their smaller stomach size and changed digestive system.

  3. Follow-up care: Patients will have regular follow-up appointments with their medical team to monitor their recovery, manage any side effects or complications, and assess their nutritional status.

  4. Lifestyle adjustments: Patients may need to make long-term lifestyle changes, such as maintaining a healthy diet, staying physically active, and avoiding tobacco and excessive alcohol consumption, to optimize their recovery and overall health after gastrectomy.

What to Ask Your Doctor

  1. What is the reason for recommending a gastrectomy for my condition?
  2. What are the potential risks and complications associated with gastrectomy surgery?
  3. How long will the recovery process be after the surgery?
  4. Will I need to follow a specific diet or make lifestyle changes after the surgery?
  5. What can I expect in terms of long-term outcomes and quality of life after gastrectomy?
  6. How experienced is the surgical team in performing gastrectomy procedures?
  7. Will I need any additional treatments or follow-up care after the surgery?
  8. Are there any alternative treatment options to consider before proceeding with gastrectomy?
  9. How will the surgery impact my ability to digest food and absorb nutrients?
  10. Are there any specific questions or concerns I should discuss with a nutritionist or dietitian before and after the surgery?

Reference

Authors: Weindelmayer J, Mengardo V, Torroni L, Gervasi MC, Hetoja S, De Pasqual CA, Simion D, Giacopuzzi S. Journal: Dig Surg. 2023;40(3-4):100-107. doi: 10.1159/000531022. Epub 2023 Jul 3. PMID: 37399795