153087 20251017144606.0 doi 10.3390/jcm14062108 sideral 143568 ART-2025-143568 eng Ioannidis, Orestis Improving Perioperative Care in Gastric Surgery: Insights from the EUropean PErioperative MEdical Networking (EUPEMEN) Project 2025 Access copy available to the general public Unrestricted Background/Objectives: Gastric cancer remains a leading cause of cancer-related deaths worldwide and surgical resection represents the mainstay of treatment procedures. However, despite the advancements noted in the field of surgical oncology, perioperative complications and variability in the perioperative care provided persist. To address the challenges caused by non-standardized perioperative care for gastric surgery across European healthcare systems, the EUropean PErioperative MEdical Networking (EUPEMEN) protocol has been developed. The present study concisely provides the EUPEMEN protocol’s development, implementation, and impact on perioperative management in gastric resections. Methods: The EUPEMEN protocol was developed through a multidisciplinary collaboration involving five academic healthcare professionals from four European countries. The main activities of the collaborative group included a literature review, consensus development, the creation of multimodal rehabilitation manuals, and the development of an online learning platform. The EUPEMEN project aims for the uniform adoption of evidence-based practices across preoperative, intraoperative, and postoperative phases, leading in nutritional, psychological, and physiological optimization. Results: The implementation of the EUPEMEN protocol aims to optimize perioperative outcomes, including reduced postoperative complications, a shorter length of hospitalization, and improved recovery trajectories. The above have been achieved through structured guidelines that ensure consistent care delivery across diverse healthcare settings and tools such as rehabilitation manuals and a free-access online educational platform. Conclusions: The EUPEMEN protocol represents a new standard for perioperative care in the field of gastric surgery that is based on multidisciplinary collaboration and evidence-based practices. While challenges such as resource constraints and variability in adherence remain, the protocol demonstrates significant potential to improve patient outcomes and streamline perioperative management. Future research should focus on long-term effects and adaptation challenges in the setting of non-European healthcare systems. info:eu-repo/grantAgreement/EUR/ERASMUS/2020-1-ES01-KA203-082681 info:eu-repo/semantics/openAccess by https://creativecommons.org/licenses/by/4.0/deed.es info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Anestiadou, Elissavet Ramirez, Jose M. Universidad de Zaragoza (orcid)0000-0001-7964-1166 Fabbri, Nicolò Martínez Ubieto, Javier Universidad de Zaragoza (orcid)0000-0003-2462-1904 Feo, Carlo Vittorio Pesce, Antonio Rosetzka, Kristyna Arroyo, Antonio Kocián, Petr Sánchez-Guillén, Luis Pascual Bellosta, Ana Universidad de Zaragoza (orcid)0000-0001-9440-8282 Whitley, Adam Bona Enguita, Alejandro Teresa-Fernandéz, Marta Bitsianis, Stefanos Symeonidis, Savvas 1013 090 Universidad de Zaragoza Dpto. Cirugía Área Cirugía 14, 6 (2025), 2108 [22 pp.] J. clin.med. Journal of Clinical Medicine 2077-0383 697648 http://zaguan.unizar.es/record/153087/files/texto_completo.pdf Versión publicada 2949106 http://zaguan.unizar.es/record/153087/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:153087 articulos driver 2025-10-17-14:15:31 ARTICLE