{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T04:11:17Z","timestamp":1791432677167,"version":"4.3.3"},"reference-count":23,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2016,5,23]],"date-time":"2016-05-23T00:00:00Z","timestamp":1463961600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2016,5,23]],"date-time":"2016-05-23T00:00:00Z","timestamp":1463961600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and aims<\/jats:title><jats:p>Delayed gastric emptying after esophagectomy with gastric replacement can pose a significant postoperative problem, often leading to aspiration and pneumonia. The present study analyzes retrospectively the effectiveness of endoscopic pyloric dilatation for post\u2010surgical gastric outlet obstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between March 2006 and March 2010, 403 patients underwent a transthoracic en\u2010bloc esophagectomy and reconstruction with a gastric tube and intrathoracic esophagogastrostomy. In patients with postoperative symptoms of an outlet dysfunction and the confirmation by endoscopy, pyloric dilatations were performed without preference with either 20\u2010 or 30\u2010mm balloons.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 89 balloon dilatations of the pylorus after esophagectomy were performed in 60 (15.6 %) patients. In 21 (35 %) patients, a second dilatation of the pylorus was performed. 55 (61.8 %) dilatations were performed with a 30\u2010mm balloon and 34 (38.2 %) with a 20\u2010mm balloon. The total redilatation rate for the 30\u2010mm balloon was 20 % (<jats:italic>n<\/jats:italic> = 11) and 52.9 % (<jats:italic>n<\/jats:italic> = 18) for the 20\u2010mm balloon (<jats:italic>p<\/jats:italic> &lt; 0.001). All dilatations were performed without any complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Pylorus spasm contributes to delayed gastric emptying leading to postoperative complications after esophagectomy. Endoscopic pyloric dilatation after esophagectomy is a safe procedure for treatment of gastric outlet obstruction. The use of a 30\u2010mm balloon has the same safety profile but a 2.5 lower redilatation rate compared to the 20\u2010mm balloon. Thus, the use of 20\u2010mm balloons has been abandoned in our clinic.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-016-3575-1","type":"journal-article","created":{"date-parts":[[2016,5,24]],"date-time":"2016-05-24T10:03:03Z","timestamp":1464084183000},"page":"2405-2411","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["Gastric Outlet Obstruction After Esophagectomy: Retrospective Analysis of the Effectiveness and Safety of Postoperative Endoscopic Pyloric Dilatation"],"prefix":"10.1002","volume":"40","author":[{"given":"Martin K. H.","family":"Maus","sequence":"first","affiliation":[{"name":"Department of General, Visceral and Cancer Surgery University of Cologne Kerpenerstr. 62 50937 Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Leers","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Cancer Surgery University of Cologne Kerpenerstr. 62 50937 Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Till","family":"Herbold","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Cancer Surgery University of Cologne Kerpenerstr. 62 50937 Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Bludau","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Cancer Surgery University of Cologne Kerpenerstr. 62 50937 Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seung\u2010Hun","family":"Chon","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Cancer Surgery University of Cologne Kerpenerstr. 62 50937 Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Kleinert","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Cancer Surgery University of Cologne Kerpenerstr. 62 50937 Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel A.","family":"Hescheler","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Cancer Surgery University of Cologne Kerpenerstr. 62 50937 Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elfriede","family":"Bollschweiler","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Cancer Surgery University of Cologne Kerpenerstr. 62 50937 Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnulf H.","family":"H\u00f6lscher","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Cancer Surgery University of Cologne Kerpenerstr. 62 50937 Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hartmut","family":"Sch\u00e4fer","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Cancer Surgery University of Cologne Kerpenerstr. 62 50937 Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hakan","family":"Alakus","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Cancer Surgery University of Cologne Kerpenerstr. 62 50937 Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,5,23]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000245847.40779.10"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010010\u20100403\u2010x"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423\u2010006\u20100119\u20104"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010007\u20109225\u20109"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4508"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1159\/000064206"},{"key":"e_1_2_6_8_2","first-page":"319","article-title":"Should a pyloroplasty be carried out in stomach transposition after subtotal esophagectomy with esophago\u2010gastric anastomosis at the neck? A prospective randomized study","volume":"66","author":"Zieren HU","year":"1995","journal-title":"Chirurg"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2008.03.012"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)34793-2"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010199801000\u201000005"},{"key":"e_1_2_6_12_2","first-page":"460","article-title":"Follow\u2010up of gastric vagotomy alone in the treatment of peptic ulcer","volume":"11","author":"Dragstedt LR","year":"1948","journal-title":"Gastroenterology"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2005.02.049"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022\u20105223(96)70318\u20105"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010199801000\u201000005"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003\u20104975(01)02535\u20108"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2006.11.010"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800770120"},{"key":"e_1_2_6_19_2","first-page":"770","article-title":"The efficacy of pyloroplasty affecting to oral\u2010intake quality of life using reconstruction with gastric tube post esophagectomy","volume":"44","author":"Kobayashi A","year":"1996","journal-title":"Nippon Kyobu Geka Gakkai Zasshi"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006231\u2010199403000\u201000006"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20109610(91)90258\u2010F"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445\u20102197.1991.tb00236.x"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010012\u20102151\u20105"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/1457496913482254"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-016-3575-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-016-3575-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-016-3575-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-016-3575-1","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T23:14:13Z","timestamp":1703632453000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-016-3575-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,5,23]]},"references-count":23,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2016,10]]}},"alternative-id":["10.1007\/s00268-016-3575-1"],"URL":"https:\/\/doi.org\/10.1007\/s00268-016-3575-1","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,5,23]]}}}