The route and type of peri-operative feeding after oesophagectomy varies widely across centres, usually based on local experiences and standing orders. The aim of this survey on perioperative nutrition after oesophagectomy (PONOS) was to create a snapshot the way perioperative nutrition preceding or following oesophagectomy is established across reference centres in Europe, and what the reasons are for preferring one method over another. Methods A survey consisting of four parts was distributed to the membership of 3 European, mainly surgical oriented scientific societies between October 2019 and January 2020. The first part contained some general questions regarding demographics of the participants and type of performed surgery. In the second section, centres were asked about practices in preoperative nutrition. The third section questioned participants about their practices in postoperative nutrition; in the last part the daily practice was reflected against the current available ESPEN guidelines. Results Fifty-one surgeons from 49 centres in 16 countries participated. The majority had a structured nutrition team in their institution. An Enhanced Recovery Pathway was implemented in 2/3 of centres. ESPEN guidelines were followed in 50% of centers. Routine preoperative nutritional assessment was performed in 84%. Preoperative nutritional support consisted mainly of enteral and oral support; immediate postoperatively mostly a combination of oral and enteral or enteral only; at discharge mostly a combination of oral and enteral or only oral nutritional supplementation were used. Timing, definition and means of postoperative oral intake also seemed to differ widely across centres. Conclusion The PONOS survey confirmed our assumption that perioperative feeding after oesophagectomy exists in a wide variety across European centres performing oesophageal resections for cancer. Survey based feedback to the surgical community draws attention to this often underexposed part of the surgical pathway of a patient. As such, this might further enhance the exchange of experiences in order to try to harmonise peri-operative feeding regimen.

中文翻译：

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131 食道切除术前后的围手术期营养实践：欧洲调查结果

食管切除术后围手术期喂养的途径和类型因中心而异，通常基于当地经验和常规。这项关于食管切除术后围手术期营养 (PONOS) 的调查的目的是创建一个快照，了解欧洲参考中心在食管切除术之前或之后建立围手术期营养的方式，以及偏爱一种方法而不是另一种方法的原因。方法 在 2019 年 10 月至 2020 年 1 月期间，向 3 个主要以外科手术为导向的欧洲科学学会的成员分发了一项由四部分组成的调查。第一部分包含一些关于参与者人口统计数据和所进行手术类型的一般性问题。在第二部分，中心被问及术前营养实践。第三部分向参与者询问了他们在术后营养方面的做法；在最后一部分中，日常实践反映了当前可用的 ESPEN 指南。结果 来自 16 个国家的 49 个中心的 51 名外科医生参加了研究。大多数人在他们的机构中​​有一个结构化的营养团队。2/3 的中心实施了强化康复路径。50% 的中心遵循 ESPEN 指南。84% 的患者进行了常规术前营养评估。术前营养支持主要包括肠内和口服支持；术后即刻主要是口服和肠内或仅肠内的组合；出院时主要使用口服和肠内的组合或仅使用口服营养补充剂。定时，不同中心的术后口服摄入的定义和方法似乎也存在很大差异。结论 PONOS 调查证实了我们的假设，即食管切除术后的围手术期喂养在欧洲进行食管切除术的癌症中心存在广泛的差异。对外科界的基于调查的反馈引起了人们对患者手术路径中经常曝光不足的部分的关注。因此，这可能会进一步加强经验交流，以尝试协调围手术期喂养方案。对外科界的基于调查的反馈引起了人们对患者手术路径中经常曝光不足的部分的关注。因此，这可能会进一步加强经验交流，以尝试协调围手术期喂养方案。对外科界的基于调查的反馈引起了人们对患者手术路径中经常曝光不足的部分的关注。因此，这可能会进一步加强经验交流，以尝试协调围手术期喂养方案。