Nursing Care for Patients After Ivor Lewis Esophagectomy

none

Authors

  • Vipawadee Jannan Ramathibodi hospital
  • Anchalee Thongsome Critical Care Nursing Unit 1, Nursing Division, Faculty of Medicine Ramathibodi Hospital, Mahidol University https://orcid.org/0009-0004-9883-4755

Keywords:

Postoperative care, Esophagectomy , Esophageal Neoplasm

Abstract

Ivor Lewis esophagectomy is a complex surgical procedure for threating middle and lower esophageal cancer, associated with significant morbidity and potential complications. Postoperative nursing care requires comprehensive knowledge of pathophysiology, surgical techniques, and systematic holistic care approaches. The article presents evidence-based nursing guidelines for patients undergoing Ivor Lewis esophagectomy, covering the immediate postoperative period through long-term follow-up care. The focus is on prevention and management of major complications including anastomotic leak, pulmonary complications, and thromboembolic events, with the goals of reducing morbidity and mortality while enhancing patient quality of life after surgery. The guidelines incorporate Enhanced Recovery After Surgery (ERAS) principles and multidisciplinary care strategies to optimize patient outcomes.

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Author Biography

Anchalee Thongsome, Critical Care Nursing Unit 1, Nursing Division, Faculty of Medicine Ramathibodi Hospital, Mahidol University

Miss. Vipawadee Jannan 

Education :

Bachelor of Science Nursing Faculty of Medicine Ramathibodi Hospital, Mahidol University / Academic year 2009

Graduate Diploma Program in Nursing Specialty Adult and Elderly Critical Care Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital , Mahidol University / 2014

Experience :

Critical Care Registered Nurse Medical Intermediate Care Unit April 2010-2017

Critical Care Registered Nurse Post Surgical Intensive Care Unit April 2017-Present

 

References

Ubels S, Verstegen MHP, Rosman C, Reynold JV. Anastomotic leakage after esophagectomy for esophageal cancer: risk factors and operative treatment. Ann Esophagus. 2021;4:8. https://dx.doi.org/10.21037/aoe-2020-18

Palleiko BA, Dickson KM, Crawford A, Shafique S, Emmerick I, Uy K, et al. Preoperative risk factors for anastomotic leak after esophagectomy with gastric reconstruction: a 6-year national surgical quality improvement NSQIP database analysis. Surgery. 2024;176(1):93-99. https://doi.org/10.1016/j.surg.2024.03.029

Byiringiro I, Aurit SJ, Nandipati KC. Long-term survival outcomes associated with robotic-assisted minimally invasive esophagectomy (RAMIE) for esophageal cancer. Surg Endosc. 2023;37(5):4018-4027. https://doi.org/10.1007/s00464-022-09588-x

Huang U, Xie Q, Wei X, Xiang J, Zhu Z, Chen H, et al. Enhanced recovery protocol versus conventional care in patient undergoing esophagectomy for cancer. Ann Surg oncol. 2024;31(9):5706-16. https://doi.org/10.1007/s00595-020-01956-1

Di J, Lu XS, Sun M, Zhao ZM, Zhang CD. Hospital volume-mortality association after esophagectomy for cancer: a systematic review and meta-analysis. Int J Surg. 2024;110(5):3021-3029. https://doi.org/10.1097/JS9.0000000000001185

Low DE, Kuppusamy MK, Alderson D, Cecconello I, Chang AC, Darling G, et al. Benchmarking complications associated with esophagectomy. Ann Surg. 2019;269(2):291-8. https://doi.org/10.1097/SLA.0000000000002611

Pan S, Cheah L, Bushra R, Ribbits A, Grimes S, O’Neill JR. Impact of early enteral feed composition on the rate of chyle leak post-esophagectomy. Dis Esophagus. 2024;37(6):doae008. https://doi.org/10.1093/dote/doae008

Mariette C, Markar SR, Dabakuyo-Yonli TS, Meunier B, Pezet D, Collet D, et al. Hybrid minimally invasive esophagectomy for esophageal cancer. N Engl J Med. 2019;380(2):152-62. https://doi.org/10.1056/NEJMoa1805101

Low DE, Allum W, De Manzoni G, Ferri L, Immanuel A, Kuppusamy M, et al. Guidelines for perioperative care in esophagectomy: Enhanced Recovery After Surgery (ERAS) Society recommendations. World J Surg. 2019;43(2):299-330. https://doi.org/10.1007/s00268-018-4786-4

Guo R, Shao L, Li B, Sun Y, Hu H, Zhang Y, et al. Safety of omitting nasogastric decompression after esophagectomy: a propensity score-matched study. J Thorac Dis. 2023;15(11):6000-6008. https://doi.org/10.21037/jtd-23-844

Sims CR 3rd, Abou Chaar MK, Kerfeld MH, Liptay MJ, Seder CW, Shrager JB, et al. Esophagectomy enhanced recovery after surgery initiative results in improved outcomes. Ann Thorac Surg. 2024;117(4):847-54. https://doi.org/10.1016/j.athoracsur.

10.032

Nun-Anan P, Vilaichone RK. Late state and grave prognosis of esophageal cancer in Thailand. Asian Pac J Cancer Prev.2015;16(5):1747 http://doi.org/10.7314/APJCP.2015.

5.1747

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Published

2026-04-22

How to Cite

Jannan, V., & Thongsome, A. (2026). Nursing Care for Patients After Ivor Lewis Esophagectomy: none. Trends in Nursing and Health Science Journal, 2(2), 1–9. retrieved from https://he05.tci-thaijo.org/index.php/tnhsj/article/view/7477

Issue

Section

Academic Article