Fast track clinical pathway implications in esophagogastrectomy

Table 3 Daily guideline of postoperative care of patients with fast track surgery

Day	Daily guideline of postoperative care
POD 1	Jejunal tube feeding 500 mL (20 mL/h);physical therapy four times per day;chest tube and nasogastric tube draining patency; head of bed put at 45-60 degree; supply albumin
POD 2	Jejunal tube feeding 1000 mL (40 mL/h) ;remove urinary catheter and epidural (Or pod3 remove);encourage patient to ambulate; chest tube and nasogastric tube draining patency; continue physical therapy, promoted to lung recruitment
POD 3	Jejunal tube feeding 1500 mL (65 mL/h); remove nasogastric tube; continue physical therapy
POD 4	Jejunal tube feeding 1500 mL (65 mL/h); X-ray; remove chest tube (drainage < 100 mL)
POD 5	Jejunal tube feeding 1500 mL (65 mL/h); gastrograffin swallow; anastomosis showed no leak; advice patient to take a little liquid diet; education on aspiration precaution
POD 6	Increase liquid diet; continue to jejunal tube feeding
POD 7	Remove jejunal tube; full liquid diet