Sep 5, 2026
2:00 PM12:00 PM
ePoster display
PD1073 - PERIOPERATIVE CHANGES IN PHYSICAL FUNCTION AND RESPIRATORY MUSCLE STRENGTH IN GASTROINTESTINAL CANCER PATIENTS: SIGNIFICANCE OF MULTIDISCIPLINARY REHABILITATION
PD1073
PERIOPERATIVE CHANGES IN PHYSICAL FUNCTION AND RESPIRATORY MUSCLE STRENGTH IN GASTROINTESTINAL CANCER PATIENTS: SIGNIFICANCE OF MULTIDISCIPLINARY REHABILITATION
S. Furuya1,*, K. Shiraishi1, T. Nakayama1, K. Takiguchi1, R. Saito1, W. Izumo1, S. Maruyama1, K. Shoda1, H. Amemiya1, Y. Kawaguchi1, D. Ichikawa1
1First Department of Surgery, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi, Japan
Rationale: Perioperative care based on Enhanced Recovery After Surgery (ERAS) emphasizes exercise and nutritional interventions. Decline in respiratory function is associated with postoperative pulmonary complications. This study evaluated perioperative changes in physical and respiratory function in gastrointestinal cancer patients.
Methods: We retrospectively analyzed 54 patients undergoing surgery for gastrointestinal cancers (esophageal n=10, gastric n=10, pancreatic n=14, colorectal n=20) between August 2021 and December 2022. Assessments were performed preoperatively and at discharge, including body mass index (BMI), handgrip strength, Short Physical Performance Battery (SPPB), 6-minute walk distance, maximal expiratory pressure (PEmax), and maximal inspiratory pressure (PImax).
Results: BMI, handgrip strength, SPPB, and 6-minute walk distance showed no significant perioperative changes. In contrast, respiratory muscle strength (PEmax and PImax) significantly decreased not only in esophageal cancer but also in upper abdominal surgeries, including gastric and pancreatic cancer.
Conclusion: While general physical function was relatively preserved during the perioperative period, respiratory muscle strength significantly declined following gastrointestinal cancer surgery, including upper abdominal procedures. Early and proactive respiratory rehabilitation starting from the preoperative phase, along with a structured multidisciplinary team approach, is essential for optimizing perioperative outcomes.
Disclosure of Interest: None declared