Imperial College London
Dr Sheraz Markar

DrSherazMarkar

Faculty of Medicine, Department of Surgery & Cancer

Honorary Clinical Senior Lecturer
 
 
 
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Contact

 

+44 (0)20 3312 7657s.markar

 
 
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Location

 

Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Tukanova:2021:10.1245/s10434-021-11163-y,
author = {Tukanova, K and Chidambaram, S and Guidozzi, N and Hanna, GB and McGregor, AH and Markar, SR},
doi = {10.1245/s10434-021-11163-y},
journal = {Annals of Surgical Oncology},
pages = {3168--3169},
title = {ASO author reflections: the role of physiotherapy regimens in esophagectomy and gastrectomy for cancer},
url = {http://dx.doi.org/10.1245/s10434-021-11163-y},
volume = {29},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - PASTDespite advancements in surgical management, esophageal and gastric cancer surgery is still associated with a significant morbidity. Traditionally, esophagectomy and gastrectomy via an open surgical approach has been the treatment of choice for esophageal and gastric cancer, respectively.1,2 Enhanced recovery after surgery (ERAS) protocols commonly include physiotherapy regimens or early mobilization intervention. These programs are well-established in colorectal cancer surgery and have shown to reduce postoperative complication rates and shortened the length of hospital stay (LOS).3Only a small number of studies have assessed the role of respiratory physiotherapy in gastrointestinal cancer surgery, while this patient group commonly present with pre-existing respiratory disease and is particularly at risk for malnutrition and loss of muscle mass.4 Although there is growing evidence of the benefits of physiotherapy implementation in decreasing the risk for postoperative morbidity, there is currently insufficient strong evidence for routine implementation of standardized respiratory physiotherapy in esophageal and gastric cancer surgery.PRESENTThis is the first meta-analysis assessing the effect of prehabilitation and peri- or postoperative physiotherapy regimens on postoperative mortality and morbidity in esophageal and gastric cancer surgery.5 A lower incidence of pneumonia was observed following both prehabilitation and peri- or postoperative rehabilitation. Furthermore, a lower incidence of postoperative morbidity was seen in patients undergoing prehabilitation, while peri- or postoperative rehabilitation resulted in a shorter LOS and better health-related quality-of-life scores for dyspnea and physical functioning. These results suggest that implementation of a physiotherapy regimen in both the pre- and peri- or postoperative setting may be beneficial. This meta-analysis is however limited by the lack of a standardized physiotherapy protocol for patients unde
AU  - Tukanova,K
AU  - Chidambaram,S
AU  - Guidozzi,N
AU  - Hanna,GB
AU  - McGregor,AH
AU  - Markar,SR
DO  - 10.1245/s10434-021-11163-y
EP  - 3169
PY  - 2021///
SN  - 1068-9265
SP  - 3168
TI  - ASO author reflections: the role of physiotherapy regimens in esophagectomy and gastrectomy for cancer
T2  - Annals of Surgical Oncology
UR  - http://dx.doi.org/10.1245/s10434-021-11163-y
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000729208300001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://link.springer.com/article/10.1245/s10434-021-11163-y
UR  - http://hdl.handle.net/10044/1/97456
VL  - 29
ER  -
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