Title

Effect of perioperative fluid balance on the postoperative outcomes of patient after esophagectomy

Authors

Sofia Jaswal¹, Harsimran Singh Walia^1,*, Atin Goyal¹, Lalita Gouri Mitra¹, Nimish Singh¹ & Vikram Singh²

Affiliation

¹Department of Anaesthesia, Critical Care and Pain, Homi Bhabha Cancer Hospital and Research Centre, Punjab, India; ²Department of Surgical Oncology, Homi Bhabha Cancer Hospital and Research Centre, Punjab, India; *Corresponding author

Email

Sofia Jaswal - E-mail: sofiapatial@gmail.com
Harsimran Singh Walia - E-mail: harsimranwalia@ymail.com
Atin Goyal - E-mail: atin89@outlook.com
Lalita Gouri Mitra - E-mail: lgmitra@hotmail.com
Nimish Singh - E-mail: nimish904@gmail.com
Vikram Singh - E-mail: vikramsinghboparai@gmail.com

Article Type

Research Article

Date

Received July 1, 2025; Revised July 31, 2025; Accepted July 31, 2025, Published July 31, 2025

Abstract

The effect of perioperative fluid balance on the postoperative complications and outcomes among patients who underwent esophagectomy surgery at a rural tertiary health care centre over 1 year is of interest. The effect of intraoperative and postoperative fluid balance on the postoperative complications and length of ICU and hospital stay was studied. Postoperative day 1 (POD1) balance (p-value 0.05) and cumulative fluid balance (p-value 0.017) were significantly associated with postoperative ICU stay. As the POD1 balance was significantly associated with the ICU stay, we divided the patients into low- and high-balance groups based on the mean POD1 balance (1484.74 mL), and ICU stay was found to be significantly longer in the high-balance group (p-value 0.023). POD1 balance and cumulative fluid balance appear to be the most influential variables, exhibiting a substantial positive relationship with ICU stay.

Keywords

Esophagecomy, fluid balance, perioperative, postoperative outcomes

Citation

Jaswal et al. Bioinformation 21(7): 1932-1936 (2025)

Edited by

P Kangueane

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.