Nursing care and implementation of enhanced recovery protocol (ERAS) after gastric cancer surgery

Karcinom želuca je jedan od najčešćih uzroka smrti od malignih bolesti. To se pripisuje otkrivanju karcinoma u poodmaklom stadiju. Kao prvi, najčešći simptom pojavljuje se abdominalna bol, slijede je mučnina i povraćanje, gubitak na tjelesnoj težini i gubitak apetita. Anamnezom i fizikalnim pregledom započinje se dijagnostika same bolesti, a nastavlja se radiološkim dijagnostičkim metodama, gastroskopijom, te uzimanjem uzorka za pato-histološku analizu postupkom biopsije. Razvojem kirurgije i provođenjem suvremene zdravstvene njege povećavaju se mogućnosti produljenja života. Zdravstvena njega bolesnika i primjena protokola ubrzanog oporavka (ERAS) nakon operacije karcinoma želuca doprinose smanjenju broja dana bolesnikova boravka u bolnici i poboljšanju kvalitete života nakon otpusta. Cilj ovog rada je prikazati ulogu medicinske sestre u oporavku, važnost prije operacijske i poslije operacijske prehrane i upoznati se s ERAS protokolom koji za svrhu ima smanjiti učestalost komplikacija i ubrzati oporavak bolesnika.Gastric cancer is often mentioned as one of the most common causes of death from malignant diseases. It is attributed to the detection of cancer in already advanced stages. Abdominal pain is the first, most common symptom, followed by nausea, vomiting, weight loss, and loss of appetite. Diagnosis of the disease itself begins with the history and physical examination and continues with radiological diagnostic methods, gastroscopy and taking a sample for pathohistological analysis by biopsy. Advancement of surgical techniques and implementation of modern health care protocols increase the possibility of a cure or at least prolonging life. Health care of patients and the introduction of the enhanced recovery after surgery (ERAS) protocol after gastric cancer surgery contributes to the reduction of length of stay and improves the quality of life after discharge. This work aims to show the nurses' role in recovery, the importance of pre-operative and post-operative nutrition and to get acquainted with the ERAS protocol, which aims to reduce the frequency of complications and speed up the patient's recovery