Surgery Clinical Trial
Official title:
Prehabilitation to Enhance Postoperative Functional Capacity Following Esophageal Resection
Consenting patients scheduled for esophageal resection surgery will be randomized to receive
standard nutrition counseling (including nutritional supplements as needed) or standard
nutrition counseling and exercise 4 weeks before surgery and 8 weeks after surgery.
It is hypothesized that, compared with the group receiving nutrition alone, the addition of
physical exercise to nutrition starting before surgery and continuing for 8 weeks after
surgery will have a significantly greater impact on functional walking capacity during the
prehabilitation period and during the postoperative period, and on the incidence of
postoperative pulmonary complications.
A randomized controlled study in patients undergoing esophageal resection for cancer to
determine the impact of multimodal prehabilitation on functional exercise capacity and
postoperative pulmonary complications. Patients who accept to be enrolled in the study will
be randomized to receive either a standard nutritional intervention (including supplements as
needed) as per current institution policy or standard nutritional intervention (including
supplements as needed) combined with a physical exercise program before and after surgery.
Specific aims
The aims of this research project are the following:
1. To determine the extent in which a multimodal prehabilitation regimen optimizes
functional recovery in patients suffering from esophageal cancer and the incidence of
postoperative pulmonary complications.
2. To understand further which measures of immediate surgical recovery are sensitive to
prehabilitation interventions, and predict change in later outcome measures.
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