The dreadful suffering of thoracic gastric conduit-related com­ plications after an esophagectomy has always driven surgeons on the frontlines to seek novel and efficient strategies towards de­ veloping a sustainable program known as Enhanced Recovery After Surgery (ERAS). Among the conventional approaches to ERAS such as refining surgical operations, optimizing the reha­ bilitation procedures, and minimizing nutritional risks, the earli­ er resumption of food intake orally and minimization of tubes for drainage are increasingly recognized due to the apparent bene­ fits they bring to patients. With an in-depth understanding of natural feeding strategies and the innovations and improvements of relevant techniques, "none tube no fasting (NTNF)" mode is starting to be accepted by mainstream medical workers world­ wide. The author here timely summarizes and discusses the evo­ lution of the feeding strategy after esophageal surgery with a spe­ cific focus on the origin and development of NTNF. Notwith­ standing the various challenges of the current treatment regimen, the accumulation of first-hand experience, advancements of new technologies, and the combined strategies of multimodality treatments including ESD and EMR, will allow the NTNF-ERAS system to gradually be perfected. Through this will be ushered a new era of esophageal surgery, al­ lowing it to reach new heights and ultimately benefit the wellbeing of esophageal cancer patients across the globe.

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