Academic Bibliography

 Search 200 years of publications by Ghent University researchers.
Advanced search
1 file | 1.07 MB
Add to list
  1. Search results
  2. The implementation of eras in Belgian...

The implementation of eras in Belgian esophageal surgery centers

Yaliva Dorreman, Hanne Vanommeslaeghe (UGent) , Piet Pattyn (UGent) , Claude Bertrand, Lieven Depypere, Hans Van Veer, Philippe Nafteux, Yves Van Nieuwenhove (UGent) , Elke Van Daele (UGent) , Fadi Charara, et al.
(2025) UPDATES IN SURGERY. 77(2). p.411-418
Author
Organization
Abstract
Esophagectomy for cancer is a highly invasive procedure with significant post-operative morbidity and mortality. The literature suggests a clear volume outcome correlation. Since 2019, esophageal surgery has been centralized in Belgium. In 2019, enhanced recovery after surgery (ERAS) guidelines were published for esophagectomy. The purpose of this study was to evaluate the level of implementation of these ERAS guidelines in Belgium. Surgeons from centralized esophageal surgery centers in Belgium were questioned. A Delphi questionnaire regarding peri-operative ERAS care and center-specific outcome data were sent to all participating surgeons. An ERAS scoring system was created to estimate and compare the level of ERAS implementation. Length of stay, post-operative pneumonia, anastomotic leakage and 30-day and 90-day mortality were evaluated. A high response rate of 94.1% was achieved. All surgeons used a peri-operative protocol in their center. The mean ERAS score for Belgian surgeons was 15.5 out of 20. The highest ERAS score per center is 18.6. Anastomotic leakage rate is 14.6% and post-operative pneumonia rate is 20.8% in Belgium. The mean length of stay is 12 days. Mortality after 30 days and 90 days are, respectively, 3.2% and 6.6%. This study gives an overview of the Belgian situation regarding the implementation of ERAS protocols in esophageal surgery centers. The overall implementation of ERAS guidelines in Belgium is good, but there is room for improvement in terms of uniformity nationally.
Keywords
Esophagectomy, Enhanced recovery after surgery, Perioperative care

Downloads

  • Download
    (...).pdf
    • full text (Published version)
    • |
    • UGent only
    • |
    • PDF
    • |
    • 1.07 MB

Citation

Please use this url to cite or link to this publication:

MLA
Dorreman, Yaliva, et al. “The Implementation of Eras in Belgian Esophageal Surgery Centers.” UPDATES IN SURGERY, vol. 77, no. 2, 2025, pp. 411–18, doi:10.1007/s13304-025-02063-x.
APA
Dorreman, Y., Vanommeslaeghe, H., Pattyn, P., Bertrand, C., Depypere, L., Van Veer, H., … On Behalf of the Audit for Belgian Esophageal Surgery (ABES) Group, [missing]. (2025). The implementation of eras in Belgian esophageal surgery centers. UPDATES IN SURGERY, 77(2), 411–418. https://doi.org/10.1007/s13304-025-02063-x
Chicago author-date
Dorreman, Yaliva, Hanne Vanommeslaeghe, Piet Pattyn, Claude Bertrand, Lieven Depypere, Hans Van Veer, Philippe Nafteux, et al. 2025. “The Implementation of Eras in Belgian Esophageal Surgery Centers.” UPDATES IN SURGERY 77 (2): 411–18. https://doi.org/10.1007/s13304-025-02063-x.
Chicago author-date (all authors)
Dorreman, Yaliva, Hanne Vanommeslaeghe, Piet Pattyn, Claude Bertrand, Lieven Depypere, Hans Van Veer, Philippe Nafteux, Yves Van Nieuwenhove, Elke Van Daele, Fadi Charara, Michiel De Maat, Véronique De Moor, Arnoud De Roover, Yannick Deswysen, Alexandre Goussens, Laurent Kohnen, Peter Lissens, Yannick Mandeville, Jody Valk, Maarten Vander Kuylen, and [missing] On Behalf of the Audit for Belgian Esophageal Surgery (ABES) Group. 2025. “The Implementation of Eras in Belgian Esophageal Surgery Centers.” UPDATES IN SURGERY 77 (2): 411–418. doi:10.1007/s13304-025-02063-x.
Vancouver
1.
Dorreman Y, Vanommeslaeghe H, Pattyn P, Bertrand C, Depypere L, Van Veer H, et al. The implementation of eras in Belgian esophageal surgery centers. UPDATES IN SURGERY. 2025;77(2):411–8.
IEEE
[1]
Y. Dorreman et al., “The implementation of eras in Belgian esophageal surgery centers,” UPDATES IN SURGERY, vol. 77, no. 2, pp. 411–418, 2025.
@article{01KEH790ZC43FDC0M85SK7VFD5,
  abstract     = {{Esophagectomy for cancer is a highly invasive procedure with significant post-operative morbidity and mortality. The literature suggests a clear volume outcome correlation. Since 2019, esophageal surgery has been centralized in Belgium. In 2019, enhanced recovery after surgery (ERAS) guidelines were published for esophagectomy. The purpose of this study was to evaluate the level of implementation of these ERAS guidelines in Belgium. Surgeons from centralized esophageal surgery centers in Belgium were questioned. A Delphi questionnaire regarding peri-operative ERAS care and center-specific outcome data were sent to all participating surgeons. An ERAS scoring system was created to estimate and compare the level of ERAS implementation. Length of stay, post-operative pneumonia, anastomotic leakage and 30-day and 90-day mortality were evaluated. A high response rate of 94.1% was achieved. All surgeons used a peri-operative protocol in their center. The mean ERAS score for Belgian surgeons was 15.5 out of 20. The highest ERAS score per center is 18.6. Anastomotic leakage rate is 14.6% and post-operative pneumonia rate is 20.8% in Belgium. The mean length of stay is 12 days. Mortality after 30 days and 90 days are, respectively, 3.2% and 6.6%. This study gives an overview of the Belgian situation regarding the implementation of ERAS protocols in esophageal surgery centers. The overall implementation of ERAS guidelines in Belgium is good, but there is room for improvement in terms of uniformity nationally.}},
  author       = {{Dorreman, Yaliva and Vanommeslaeghe, Hanne and Pattyn, Piet and Bertrand, Claude and Depypere, Lieven and Van Veer, Hans and Nafteux, Philippe and Van Nieuwenhove, Yves and Van Daele, Elke and Charara, Fadi and De Maat, Michiel and De Moor, Véronique and De Roover, Arnoud and Deswysen, Yannick and Goussens, Alexandre and Kohnen, Laurent and Lissens, Peter and Mandeville, Yannick and Valk, Jody and Kuylen, Maarten Vander and On Behalf of the Audit for Belgian Esophageal Surgery (ABES) Group, [missing]}},
  issn         = {{2038-131X}},
  journal      = {{UPDATES IN SURGERY}},
  keywords     = {{Esophagectomy,Enhanced recovery after surgery,Perioperative care}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{411--418}},
  title        = {{The implementation of eras in Belgian esophageal surgery centers}},
  url          = {{http://doi.org/10.1007/s13304-025-02063-x}},
  volume       = {{77}},
  year         = {{2025}},
}
Altmetric
View in Altmetric
Web of Science
Times cited: