To the Editor I read with great interest the study by Minnella et al.¹ However, I wish to highlight the following issues.

The authors implemented a bimodal prehabilitation program consisting of exercise and nutrition programs. However, have they considered incorporating psychosocial interventions as part of prehabilitation? Psychological assessments and health-related quality-of-life measurements are well established and are important aspects of cancer and surgical care. Hence, the prehabilitation programs should be trimodal, comprising physical, nutrition, and psychosocial components.²

中文翻译：

---

食管胃癌手术的术前注意事项。

对于编辑，我非常感兴趣地阅读了Minnella等人的研究。¹但是，我想强调以下问题。

作者实施了由锻炼和营养计划组成的双峰式康复计划。但是，他们是否考虑过将心理社会干预作为康复的一部分？心理评估和与健康有关的生活质量测量已得到充分确立，并且是癌症和外科治疗的重要方面。因此，康复前计划应为三重模式，包括身体，营养和社会心理方面的内容。^2个