{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T02:39:03Z","timestamp":1784774343459,"version":"3.55.0"},"reference-count":32,"publisher":"Baishideng Publishing Group Inc.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Gastrointest Oncol"],"abstract":"<jats:p>BACKGROUND<\/jats:p>\n          <jats:p>This study aimed to evaluate the safety of enhanced recovery after surgery (ERAS) in elderly patients with gastric cancer (GC).<\/jats:p>\n          <jats:p>AIM<\/jats:p>\n          <jats:p>To evaluate the safety of ERAS in elderly patients with GC.<\/jats:p>\n          <jats:p>METHODS<\/jats:p>\n          <jats:p>The PubMed, EMBASE, and Cochrane Library databases were used to search for eligible studies from inception to April 1, 2023. The mean difference (MD), odds ratio (OR) and 95% confidence interval (95%CI) were pooled for analysis. The quality of the included studies was evaluated using the Newcastle-Ottawa Scale scores. We used Stata (V.16.0) software for data analysis.<\/jats:p>\n          <jats:p>RESULTS<\/jats:p>\n          <jats:p>This study consists of six studies involving 878 elderly patients. By analyzing the clinical outcomes, we found that the ERAS group had shorter postoperative hospital stays (MD = -0.51, I 2 = 0.00%, 95%CI = -0.72 to -0.30, P  = 0.00); earlier times to first flatus (defecation; MD = -0.30, I\u00b2 = 0.00%, 95%CI = -0.55 to -0.06, P  = 0.02); less intestinal obstruction (OR = 3.24, I 2 = 0.00%, 95%CI = 1.07 to 9.78, P  = 0.04); less nausea and vomiting (OR = 4.07, I 2 = 0.00%, 95%CI = 1.29 to 12.84, P  = 0.02); and less gastric retention (OR = 5.69, I 2 = 2.46%, 95%CI = 2.00 to 16.20, P  = 0.00). Our results showed that the conventional group had a greater mortality rate than the ERAS group (OR = 0.24, I 2 = 0.00%, 95%CI = 0.07 to 0.84, P  = 0.03). However, there was no statistically significant difference in major complications between the ERAS group and the conventional group (OR = 0.67, I 2 = 0.00%, 95%CI = 0.38 to 1.18, P  = 0.16).<\/jats:p>\n          <jats:p>CONCLUSION<\/jats:p>\n          <jats:p>Compared to those with conventional recovery, elderly GC patients who received the ERAS protocol after surgery had a lower risk of mortality.<\/jats:p>","DOI":"10.4251\/wjgo.v16.i4.1334","type":"journal-article","created":{"date-parts":[[2024,4,9]],"date-time":"2024-04-09T08:59:29Z","timestamp":1712653169000},"page":"1334-1343","source":"Crossref","is-referenced-by-count":4,"title":["Is recovery enhancement after gastric cancer surgery really a safe approach for elderly 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