Ann Clin Nutr Metab.
2025 Apr;17(1):25-40. 10.15747/ACNM.25.0001.
Development of a pre- and re-habilitation protocol for gastrointestinal cancer surgery
- Kim EY
1 - Bae JH2
- Kim J3
- Yang EJ4
- Park SJ5
- Lee IK2
- on behalf of the Task Force Team for Development and Trial Application of Pre/Rehabilitation Protocol in GI Cancer Surgery1
- Affiliations
-
- 1Division of Trauma and Surgical Critical Care, Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- 2Division of Colorectal Surgery, Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- 3Department of Clinical Nutrition, National Cancer Center, Goyang, Korea
- 4Department of Rehabilitation Medicine, Daerim St. Mary Hospital, Seoul, Korea
- 5Center for Liver and Pancreatobiliary Cancer, National Cancer Center Hospital, Goyang, Korea
- KMID: 2566720
- DOI: http://doi.org/10.15747/ACNM.25.0001
Abstract
- Purpose
Surgical resection is the primary curative treatment for gastrointestinal (GI) cancer; however, it is associated with high postoperative complication rates and impaired recovery. Frailty, malnutrition, and sarcopenia increase morbidity and mortality, underscoring the need for perioperative rehabilitation programs. Standardized rehabilitation protocols during the perioperative period are currently lacking in Korea. We aimed to develop an evidence-based rehabilitation protocol for GI cancer patients to enhance postoperative outcomes and facilitate clinical implementation.
Methods
A multidisciplinary task force team comprising experts in surgery, clinical nutrition, and rehabilitation medicine conducted a systematic literature search and comprehensive review from 2012 to 2022 to develop a standardized pre- and re-habilitation protocol for GI cancer surgery. The protocol underwent external validation and subsequent refinements before being finalized through expert consensus.
Results
The protocol development process was organized into four consecutive phases: keyword selection, literature review and case report form development, initial protocol drafting, and external validation leading to the final version of the protocol. The final version of the rehabilitation protocol is presented in the main text and included as Supplements.
Conclusion
This protocol provides a standardized clinical guideline based on the latest evidence-based pre- and re-habilitation strategies and is designed for seamless integration into routine clinical practice. By facilitating proactive rehabilitation interventions, it aims to improve outcomes in GI cancer patients who are at high risk of postoperative complications, functional decline, and malnutrition.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- The Role of Endosonography in the Staging of Gastrointestinal Cancers
- Development of Lower Extremity Lymphedema Nursing Practice Protocol for Patients Following Gynecologic Cancer Treatment
- The human gastrointestinal microbiota and prostate cancer development and treatment
- Development and Evaluation of an Enteral Nutrition Protocol for Dysphagia in Patients with Acute Stroke
- MicroRNA Dysregulations in Gastrointestinal Cancers: Pathophysiological and Clinical Perspectives
