Nursing Care for Patients After Ivor Lewis Esophagectomy
none
Keywords:
Postoperative care, Esophagectomy , Esophageal NeoplasmAbstract
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.
Downloads
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
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Trends in Nursing and Health Science Journal

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
This article is published under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0), which allows others to share the article with proper attribution to the authors and prohibits commercial use or modification. For any other reuse or republication, permission from the journal and the authors is required.