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Meta-Analysis
©The Author(s) 2025.
World J Gastrointest Endosc. Sep 16, 2025; 17(9): 109033
Published online Sep 16, 2025. doi: 10.4253/wjge.v17.i9.109033
Table 2 Treatment protocol adopted in included studies
Ref.
Intervention
Control
Aiko et al[18], 2012
Immune enhanced diets 5 days prior to surgery. Enteral feeding and parenteral mixture (UNICALIQ l) following surgeryStandard diets before surgery. Enteral feeding and parenteral mixture (UNICALIQ l) following surgery
Allen et al[17]Supervised and home-based exercise program. Six sessions of medical coaching Standardoesophagogastric care pathways. Encouraged to remain active, given dietary recommendations and psychological support
Barberan-Garciaet al[19], 2018Personalised daily activity and exercise programs. Motivational interviewing Standard care. Encouraged to make healthy lifestyle choices
Bausys et al[20], 2023Personalised home-based prehabilitation program consisting of exercise, nutritional, and psychological supportDid not receive advice on prehabilitation related interventions, some were recommended supplementation prior to surgery
Chen et al[21], 2024
3-week individualised prehabilitation program consisting of exercise, respiratory training, nutritional, and psychological support
Did not receive any prehabilitation advice. ERAS recommendation
Guinan et al[22], 2018Inspiratory muscle training program
Standard pathway
He et al[23],2022Oral nutritional supplement for seven days
Standard dietary advice
Liu et al[24],2020Oral nutrition supplement for all patients
ERAS, oral nutrition supplement if needed
Loughney et al[25], 2024Standardised nutritional pathway. Exercise prehabilitationStandardised nutritional pathway
Minnella et al[7], 2018Exercise and nutrition programsERAS. Standard care
Swaminathan et al[26], 2020Preoperative volume-oriented spirometry. Oral maltodextrin drink the night before and day of surgery. Oral midazolam on day of surgery. ERASStandard care
Valkenet et al[27], 2018Inspiratory muscle training
Standard care
Wang et al[28], 2015Daily nutritional protein-based supplement 1 week prior to surgeryStandard preoperative care
Yamana et al[29], 2015Preoperative respiratory exercise training programNo interventions
Zhao et al[30], 2018Oral nutrition supplement 7 days before surgeryRoutine preoperative diet
Zheng et al[31], 2024Preoperative pulmonary related training programNo interventions


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