000162627 001__ 162627
000162627 005__ 20251017144614.0
000162627 0247_ $$2doi$$a10.3390/diseases13080231
000162627 0248_ $$2sideral$$a145170
000162627 037__ $$aART-2025-145170
000162627 041__ $$aeng
000162627 100__ $$aIoannidis, Orestis
000162627 245__ $$aOptimizing Perioperative Care in Esophageal Surgery: The EUropean PErioperative MEdical Networking (EUPEMEN) Collaborative for Esophagectomy
000162627 260__ $$c2025
000162627 5060_ $$aAccess copy available to the general public$$fUnrestricted
000162627 5203_ $$aBackground/Objectives: Despite advancements in surgery, esophagectomy remains one of the most challenging and complex gastrointestinal surgical procedures, burdened by significant perioperative morbidity and mortality rates, as well as high financial costs. Recognizing the need for standardized care provided by a multidisciplinary healthcare team, the EUropean PErioperative MEdical Networking (EUPEMEN) initiative developed a dedicated protocol for perioperative care of patients undergoing esophagectomy, aiming to enhance recovery, reduce morbidity, and homogenize care delivery across European healthcare systems. Methods: Developed through a multidisciplinary European collaboration of five partners, the protocol incorporates expert consensus and the latest scientific evidence. It addresses the entire perioperative pathway, from preoperative preparation to hospital discharge and postoperative recovery, emphasizing patient-centered care, risk mitigation, and early functional restoration. Results: The implementation of the EUPEMEN esophagectomy protocol is expected to improve patient outcomes through a day-by-day structured prehabilitation plan, meticulous intraoperative management, and proactive postoperative rehabilitation. The approach promotes reduced postoperative complications, earlier return to oral intake, and shorter hospital stays, while supporting multidisciplinary coordination. Conclusions: The EUPEMEN protocol for esophagectomy provides a comprehensive guideline framework for optimizing perioperative care in esophageal surgery. In addition, it serves as a practical guide for healthcare professionals committed to advancing surgical recovery and standardizing clinical practice across diverse care environments across Europe.
000162627 536__ $$9info:eu-repo/grantAgreement/EUR/ERASMUS/2020-1-ES01-KA203-082681
000162627 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000162627 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000162627 700__ $$aAnestiadou, Elissavet
000162627 700__ $$aKoltsida, Angeliki
000162627 700__ $$0(orcid)0000-0001-7964-1166$$aRamirez, Jose M.$$uUniversidad de Zaragoza
000162627 700__ $$aFabbri, Nicolò
000162627 700__ $$0(orcid)0000-0003-2462-1904$$aMartínez Ubieto, Javier$$uUniversidad de Zaragoza
000162627 700__ $$aFeo, Carlo Vittorio
000162627 700__ $$aPesce, Antonio
000162627 700__ $$aRosetzka, Kristyna
000162627 700__ $$aArroyo, Antonio
000162627 700__ $$aKocián, Petr
000162627 700__ $$aSánchez-Guillén, Luis
000162627 700__ $$0(orcid)0000-0001-9440-8282$$aPascual Bellosta, Ana$$uUniversidad de Zaragoza
000162627 700__ $$aWhitley, Adam
000162627 700__ $$aBona Enguita, Alejandro
000162627 700__ $$aTeresa-Fernandéz, Marta
000162627 700__ $$aBitsianis, Stefanos
000162627 700__ $$aSymeonidis, Savvas
000162627 7102_ $$11013$$2090$$aUniversidad de Zaragoza$$bDpto. Cirugía$$cÁrea Cirugía
000162627 773__ $$g13, 8 (2025), 231 [31 pp.]$$pDiseases$$tDiseases$$x2079-9721
000162627 8564_ $$s4379388$$uhttps://zaguan.unizar.es/record/162627/files/texto_completo.pdf$$yVersión publicada
000162627 8564_ $$s2669791$$uhttps://zaguan.unizar.es/record/162627/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000162627 909CO $$ooai:zaguan.unizar.es:162627$$particulos$$pdriver
000162627 951__ $$a2025-10-17-14:18:42
000162627 980__ $$aARTICLE