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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Dec 21, 2025; 31(47): 113331
Published online Dec 21, 2025. doi: 10.3748/wjg.v31.i47.113331
Published online Dec 21, 2025. doi: 10.3748/wjg.v31.i47.113331
Feasibility and safety of enhanced recovery after surgery in elderly patients with gastric cancer
Jia-Yu Li, Miao-Miao Ge, Hua-Feng Pan, Gang Wang, Zhi-Wei Jiang, Department of General Surgery, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210023, Jiangsu Province, China
Co-corresponding authors: Hua-Feng Pan and Gang Wang.
Author contributions: Pan HF and Wang G contributed equally to this study as co-corresponding authors; Li JY was responsible for manuscript writing, data collection, data analysis, study conception, participated in the design of the study, data interpretation, and project coordination; Ge MM and Pan HF were responsible for data collection, data analysis, participated in study design and assisted in revising the manuscript; Wang G and Jiang ZW were responsible for project administration, data analysis, study conception, participated in the design of the study, supervision; and finalization of the draft.
Supported by The Medical Key Discipline Construction Project of Jiangsu Province, No. ZDXK202251; The Key project of Jiangsu Provincial Hospital Administration of Traditional Chinese Medicine, No. ZD201903; The Project of China Medical Education Association, No. 2022KTZ005; and National Natural Science Foundation of China, No. 81500417.
Institutional review board statement: The study protocol was approved by the Ethics Committee of Affiliated Hospital of Nanjing University of Chinese Medicine, approval No. 2022NL-129-02, and the study was performed in accordance with the Helsinki II declaration.
Informed consent statement: Informed consent was obtained from all the study subjects before enrollment.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
Data sharing statement: Data is provided within the manuscript or Supplementary material.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Gang Wang, MD, Associate Professor, Department of General Surgery, Affiliated Hospital of Nanjing University of Chinese Medicine, No. 155 Hanzhong Road, Qinhuai District, Nanjing 210023, Jiangsu Province, China. gangwang82@163.com
Received: August 22, 2025
Revised: September 22, 2025
Accepted: October 29, 2025
Published online: December 21, 2025
Processing time: 119 Days and 18.2 Hours
Revised: September 22, 2025
Accepted: October 29, 2025
Published online: December 21, 2025
Processing time: 119 Days and 18.2 Hours
Core Tip
Core Tip: This retrospective analysis of 161 gastric cancer patients confirms both the feasibility and safety of implementing enhanced recovery after surgery (ERAS) protocols for elderly individuals undergoing gastrectomy. Our findings contribute substantively to the evidence base for clinical adoption of ERAS. Furthermore, we describe and analyze key implementation insights regarding perioperative pathway execution in routine practice.