{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T07:01:33Z","timestamp":1792566093315,"version":"4.5.0"},"reference-count":61,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T00:00:00Z","timestamp":1761091200000},"content-version":"vor","delay-in-days":51,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:title>SUMMARY<\/jats:title>\n                  <jats:p>Delayed gastric conduit emptying (DGCE) is a common functional syndrome after esophagectomy. The clinical phenotype is characterized by regurgitation, reflux, and the inability to meet caloric requirements by oral intake. Diagnosis and cause-directed therapy are often challenging because of variable underlying pathomechanisms. Against this background and based on our clinical experience, we propose a classification that categorizes DGCE according to the predominant case-specific pathophysiology: Class I: functional\u2014DGCE due to impaired antro-pyloric motilityClass II: conduit-related\u2014DGCE caused by specific patho-anatomical features of the conduitClass III: hiatal\u2014DGCE resulting from mechanical obstruction at the diaphragmatic hiatusClass IV: other\u2014Other causes of DGCE at or distal to the pylorus (e.g. luminal occlusion, intestinal adhesions or peritoneal carcinomatosis)<\/jats:p>\n                  <jats:p>We believe that this classification has the potential to promote a better understanding of the symptom spectrum of DGCE and to facilitate cause-oriented, focused treatment. Moreover, we are convinced that a structured definition of DGCE according to pathophysiology will improve the comparability of different patient cohorts and thus promote future collaborative research.<\/jats:p>","DOI":"10.1093\/dote\/doaf090","type":"journal-article","created":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T12:06:10Z","timestamp":1759320370000},"source":"Crossref","is-referenced-by-count":7,"title":["Delayed gastric conduit emptying after esophagectomy: attempt at a clinically relevant classification"],"prefix":"10.1093","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6723-8879","authenticated-orcid":false,"given":"Marcel A","family":"Schneider","sequence":"first","affiliation":[{"name":"Department of Visceral and Transplant Surgery, University Hospital Zurich , Zurich ,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"Viggiani D\u2019Avalos","sequence":"additional","affiliation":[{"name":"Department of Visceral and Transplant Surgery, University Hospital Zurich , Zurich ,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan","family":"Gerdes","sequence":"additional","affiliation":[{"name":"Department of Visceral and Transplant Surgery, University Hospital Zurich , Zurich ,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Vetter","sequence":"additional","affiliation":[{"name":"Department of Visceral and Transplant Surgery, University Hospital Zurich , Zurich ,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6171-4427","authenticated-orcid":false,"given":"Christian A","family":"Gutschow","sequence":"additional","affiliation":[{"name":"Department of Visceral and Transplant Surgery, University Hospital Zurich , Zurich 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