Table 1.

Time table of the modified ERAS program

Operative day	-1	0	+1	+2	+3	+4	+5	+6	+7
Preoperative counseling	Preoperative counseling was held in the outpatient clinic before hospitalization and in the ward after admission.
Pre-medication	Patients do not receive any sedation.
Oral intake	Normal diet until midnight	Oral hydration solution (OS-1®) 3 h before surgery		Drink a water and oral nutrition supplement (Endure Liquid®)	Liquid diet (3 steps up to a soft diet every 2 days)
Bowel preparation	1 g magnesium oxide and a New Lecicarbon® suppository
Anesthesia and Analgesics		Combination of epidural analgesia (TH7-11) and general anesthesia during surgery
		Continuous thoracic epidural infusion of analgesics after surgery	→	Removing epidural catheter
		Nonsteroidal anti-inflammatory drug intravenously after surgery twice daily	→	Acetoaminophen three times a daily orally	→	→	→
Drain and NGT		No drain in distal gastrectomy, one or two drains in total gastrectomy		Removing drain(s)
		NGT was removed immediately after surgery
Urinary catheter				Removing
ADL			Encourage to sit out of bed for more than 6 h	Encourage to walk the length of the ward	→	→	→	→	→
Antithromboprophylaxis			None	Subcutaneous injection of antithrombotic agent (enoxaparin sodium or fondaparinux)	→	→	None	→	→
X-ray and blood exam.		○	○						○ (Check discharge creiteria)

NGT: Nasogastric tube, ADL: Activity of daily life.