Abstract: |
The upper gastrointestinal (GI) tract comprises the mouth, esophagus, stomach, and duodenum. The incidence of such cancers is rising, and improved operative safety and successes of neoadjuvant chemotherapy have increased the number of patients who are candidates for curative resection. Resection of tumors involving the upper GI tract carries high intraoperative risk, and due to shared anatomy, close concert between the anesthesiologist and surgeon. The goals of intraoperative management include optimal fluid management, appropriate multimodal analgesia, reduction of postoperative pulmonary complications, and optimizing the physiologic milieu to promote anastomotic healing. © 2023 Elsevier Inc. All rights reserved. |