To the authors’ knowledge, this is the first study to evaluate the feasibility and outcomes of
early enforced mobilisation after surgery in a heterogeneous group of patients with
gastrointestinal cancer. Evaluation of enforced mobilisation as a single intervention enables
further development of early mobilisation protocols within ERAS programmes.
The enforced mobilisation protocol appeared to be feasible in various surgical groups
(colorectal, liver, stomach and other); on average, 50% of these patients were able to walk the
prescheduled distance on postoperative day 1. These results are in accordance with the results
of Wang et al. [12], who found that 53% of patients who received an an ERAS programme
including enforced walking following colorectal resection were able to walk on postoperative
day 1. The present study found that patients who underwent oesophageal resection were
unable to walk on postoperative day 1. This finding can be attributed to the impact of surgery.
Low adherence to early postoperative mobilisation after oesophageal resection has been reported previously [10]. Therefore, the optimal delivery of early postoperative mobilisation
in patients following oesophageal resection needs further investigation. In addition, preoperative
interventions, such as inspiratory muscle training, may reduce the incidence of
PPCs. As patients who undergo oesophageal resection are at high risk of developing PPCs,
strategies to prevent PPCs are highly relevant.
To the authors’ knowledge, this is the first study to evaluate the feasibility and outcomes ofearly enforced mobilisation after surgery in a heterogeneous group of patients withgastrointestinal cancer. Evaluation of enforced mobilisation as a single intervention enablesfurther development of early mobilisation protocols within ERAS programmes.The enforced mobilisation protocol appeared to be feasible in various surgical groups(colorectal, liver, stomach and other); on average, 50% of these patients were able to walk theprescheduled distance on postoperative day 1. These results are in accordance with the resultsof Wang et al. [12], who found that 53% of patients who received an an ERAS programmeincluding enforced walking following colorectal resection were able to walk on postoperativeday 1. The present study found that patients who underwent oesophageal resection wereunable to walk on postoperative day 1. This finding can be attributed to the impact of surgery.Low adherence to early postoperative mobilisation after oesophageal resection has been reported previously [10]. Therefore, the optimal delivery of early postoperative mobilisationin patients following oesophageal resection needs further investigation. In addition, preoperativeinterventions, such as inspiratory muscle training, may reduce the incidence ofPPCs. As patients who undergo oesophageal resection are at high risk of developing PPCs,strategies to prevent PPCs are highly relevant.
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