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Table 1 Time table of the modified ERAS program

From: Feasibility of enhanced recovery after surgery in gastric surgery: a retrospective study

Operative day

-1

0

+1

+2

+3

+4

+5

+6

+7

Preoperative counseling

Preoperative counseling was held in the outpatient clinic before hospitalization and in the ward after admission.

Pre-medication

Patients do not receive any sedation.

   

Oral intake

Normal diet until midnight

Oral hydration solution (OS-1®) 3 h before surgery

 

Drink a water and oral nutrition supplement (Endure Liquid®)

Liquid diet (3 steps up to a soft diet every 2 days)

Bowel preparation

1 g magnesium oxide and a New Lecicarbon® suppository

        

Anesthesia and Analgesics

 

Combination of epidural analgesia (TH7-11) and general anesthesia during surgery

       
 

Continuous thoracic epidural infusion of analgesics after surgery

Removing epidural catheter

     
 

Nonsteroidal anti-inflammatory drug intravenously after surgery twice daily

Acetoaminophen three times a daily orally

  

Drain and NGT

 

No drain in distal gastrectomy, one or two drains in total gastrectomy

 

Removing drain(s)

     

NGT was removed immediately after surgery

Urinary catheter

   

Removing

     

ADL

  

Encourage to sit out of bed for more than 6 h

Encourage to walk the length of the ward

Antithromboprophylaxis

  

None

Subcutaneous injection of antithrombotic agent (enoxaparin sodium or fondaparinux)

None

X-ray and blood exam.

 

     

(Check discharge creiteria)

  1. NGT: Nasogastric tube, ADL: Activity of daily life.