Surgery today · 2026
Clinical significance and predictive factors of delayed gastric conduit emptying after esophagectomy.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Sato Yuta, Tanaka Yoshihiro, Hatanaka Yuji, Fujibayashi Seito, Mitsui Noriki, Yokoi Ryoma, Horaguchi Takeshi, Matsumoto Keita, Fukada Masahiro, Yasufuku Itaru, Asai Ryuichi, Tajima Jesse Yu, Matsuhashi Nobuhisa
Аннотация
PURPOSE: Delayed gastric conduit emptying (DGCE) is a functional complication after esophagectomy that can cause nutritional and respiratory issues, but its risk factors remain unclear.
METHODS: We retrospectively analyzed 166 patients after esophagectomy at Gifu University Hospital (2020-2024). DGCE was diagnosed per International Society for Diseases of the Esophagus criteria and graded using a novel radiographic classification (Grade 1-3). Clinical and postoperative outcomes were compared, and risk factors analyzed by logistic regression.
RESULTS: DGCE occurred in 29 patients (17.5%). Early DGCE patients were more often female (p = 0.005), had greater gastric conduit-mediastinum length difference (p < 0.001), and fewer fixation sutures (p < 0.001). No independent predictors were identified, though female sex and higher body mass index (BMI) showed trends. Pneumonia and late DGCE were more frequent (both p < 0.001). Severe DGCE (Grade 3) caused greater weight loss at 6 months and 1 year (p = 0.013, p < 0.001).
CONCLUSIONS: Post-esophagectomy DGCE was linked to excessive conduit length and insufficient fixation. Careful intraoperative handling and structured long-term follow-up are crucial.
METHODS: We retrospectively analyzed 166 patients after esophagectomy at Gifu University Hospital (2020-2024). DGCE was diagnosed per International Society for Diseases of the Esophagus criteria and graded using a novel radiographic classification (Grade 1-3). Clinical and postoperative outcomes were compared, and risk factors analyzed by logistic regression.
RESULTS: DGCE occurred in 29 patients (17.5%). Early DGCE patients were more often female (p = 0.005), had greater gastric conduit-mediastinum length difference (p < 0.001), and fewer fixation sutures (p < 0.001). No independent predictors were identified, though female sex and higher body mass index (BMI) showed trends. Pneumonia and late DGCE were more frequent (both p < 0.001). Severe DGCE (Grade 3) caused greater weight loss at 6 months and 1 year (p = 0.013, p < 0.001).
CONCLUSIONS: Post-esophagectomy DGCE was linked to excessive conduit length and insufficient fixation. Careful intraoperative handling and structured long-term follow-up are crucial.