{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T05:08:17Z","timestamp":1788930497309,"version":"build-2803163510"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100012834","name":"Gifu University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100012834","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Today"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Delayed gastric conduit emptying (DGCE) is a functional complication after esophagectomy that can cause nutritional and respiratory issues, but its risk factors remain unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analyzed 166 patients after esophagectomy at Gifu University Hospital (2020\u20132024). DGCE was diagnosed per International Society for Diseases of the Esophagus criteria and graded using a novel radiographic classification (Grade 1\u20133). Clinical and postoperative outcomes were compared, and risk factors analyzed by logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      DGCE occurred in 29 patients (17.5%). Early DGCE patients were more often female (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005), had greater gastric conduit\u2013mediastinum length difference (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and fewer fixation sutures (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). No independent predictors were identified, though female sex and higher body mass index (BMI) showed trends. Pneumonia and late DGCE were more frequent (both\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Severe DGCE (Grade 3) caused greater weight loss at 6 months and 1 year (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.013,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Post-esophagectomy DGCE was linked to excessive conduit length and insufficient fixation. Careful intraoperative handling and structured long-term follow-up are crucial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00595-026-03371-4","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T11:09:38Z","timestamp":1782990578000},"page":"2468-2477","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical significance and predictive factors of delayed gastric conduit emptying after esophagectomy"],"prefix":"10.1007","volume":"56","author":[{"given":"Yuta","family":"Sato","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihiro","family":"Tanaka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuji","family":"Hatanaka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seito","family":"Fujibayashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriki","family":"Mitsui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryoma","family":"Yokoi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Horaguchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keita","family":"Matsumoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahiro","family":"Fukada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Itaru","family":"Yasufuku","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryuichi","family":"Asai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse Yu","family":"Tajima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuhisa","family":"Matsuhashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"3371_CR1","doi-asserted-by":"publisher","first-page":"e2129228","DOI":"10.1001\/jamanetworkopen.2021.29228","volume":"4","author":"MA Mederos","year":"2021","unstructured":"Mederos MA, de Virgilio MJ, Shenoy R, Ye L, Toste PA, Mak SS, et al. 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