Overall , there is little direct evidence for components of ERAS , with much derived from nonesophageal thoracoabdominal surgery .
ERAS in principle seems logical and safe for esophagectomy .
OBJECTIVE This article aims to provide the first systematic review of enhanced recovery after surgery ( ERAS ) programs for  esophagectomy  and generate guidelines .
BACKGROUND ERAS programs use multimodal approaches to reduce complications and accelerate recovery .
Although ERAS is well established in colorectal surgery , experience after esophagectomy has been minimal .
However , esophagectomy remains an extremely high-risk operation , commonly performed in patients with significant comorbidities .
Consequently , ERAS may have a significant role to play in improving outcomes .
No guidelines or review s have been published in esophagectomy .
Effect of the Informed Consent Process on Anxiety and Comprehension of Patients Undergoing Esophageal and Gastrointestinal Surgery
Objective This study seeks to evaluate the level of anxiety , recall , and comprehension of the provided information in patients undergoing esophageal and gastrointestinal surgery . Methods Sixty-one patients without cognitive disorders entered a prospect i ve study design ed to assess the effect of a surgical informed consent process . The written informed consent was administered to all patients and was supported by a verbal explanation and a schematic drawing of the operation . The  State Trait Anxiety Inventory test  was used to assess state anxiety and tract anxiety . The test was repeated after the informed consent process . A disease-specific feedback question naire was subsequently administered to assess the actual comprehension of the provided information . Results A significant decrease of the state anxiety scores was documented in most patients ( p < 0.001 ) . This effect was more evident in the elderly ( p = 0.021 ) and in those who used Internet as a previous source of information ( p = 0.032 ) . The mean correct exact answer rate on the disease-specific question naire was 76 % ( IQ range 66.7–85 % ) . No statistically significant relationship was found between the rate of correct answers and the state anxiety scores . Conclusions An exhaustive surgical informed consent process was effective in providing comprehension and decreasing anxiety in patients who are c and i date s to minimally invasive esophageal and gastrointestinal surgical procedures
Overall , there is little direct evidence for components of ERAS , with much derived from nonesophageal thoracoabdominal surgery .
ERAS in principle seems logical and safe for esophagectomy .
OBJECTIVE This article aims to provide the first systematic review of enhanced recovery after surgery ( ERAS ) programs for  esophagectomy  and generate guidelines .
BACKGROUND ERAS programs use multimodal approaches to reduce complications and accelerate recovery .
Although ERAS is well established in colorectal surgery , experience after esophagectomy has been minimal .
However , esophagectomy remains an extremely high-risk operation , commonly performed in patients with significant comorbidities .
Consequently , ERAS may have a significant role to play in improving outcomes .
No guidelines or review s have been published in esophagectomy .