{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T02:21:15Z","timestamp":1787538075044,"version":"build-2736575974"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T00:00:00Z","timestamp":1787443200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T00:00:00Z","timestamp":1787443200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Esophagectomy with gastric conduit reconstruction is associated with functional complaints impacting quality of life in approximately half of patients, including delayed gastric emptying and reflux. Current management strategies have limited effect, and no standard surgical procedure exists to address these debilitating symptoms. Roux\u2010en\u2010Y reconstruction has emerged as a potential solution by creating duodenal diversion, promoting gastric conduit emptying, and eliminating the reflux of bile and pancreatic secretions into the gastric conduit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We report a case series of nine patients who underwent Roux\u2010en\u2010Y reconstruction with a gastric conduit\u2010jejunostomy after esophagectomy due to functional complaints between 2015 and 2024 who had at least a median follow\u2010up of 1\u2009year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Nine patients underwent Roux\u2010en\u2010Y reconstruction. Primary indications included obstructive symptoms (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20098), redundant gastric conduit (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20098), weight loss (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20097), bile reflux (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20095), and gastro\u2010esophageal reflux (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091). All procedures were completed successfully with one Clavien\u2013Dindo Grade IIIb complication (fascial dehiscence). No Grade 4 or 5 complications were observed. At 3\u2010month follow\u2010up, complete symptom resolution was achieved in six out of nine patients (67%). Complete symptom resolution at 1\u2009year follow\u2010up was achieved in eight out of nine patients (89%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Substantial symptom improvement and acceptable and transient postoperative morbidity indicate that Roux\u2010en\u2010Y reconstruction is a viable treatment option for patients with persistent functional complaints following esophagectomy with gastric conduit reconstruction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70926","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T01:40:11Z","timestamp":1787535611000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Roux\u2010en\u2010Y Reconstruction After Esophagectomy for Postoperative Functional Complaints: A Case Series"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7130-8833","authenticated-orcid":false,"given":"Donika","family":"Zogaj","sequence":"first","affiliation":[{"name":"Department of Surgery University of Groningen, University Medical Center Groningen  Groningen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5880-2992","authenticated-orcid":false,"given":"Stefan H. E. M.","family":"Clermonts","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Groningen, University Medical Center Groningen  Groningen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0733-0788","authenticated-orcid":false,"given":"Frederieke A.","family":"Dijkstra","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Groningen, University Medical Center Groningen  Groningen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2900-2942","authenticated-orcid":false,"given":"Boudewijn","family":"van Etten","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Groningen, University Medical Center Groningen  Groningen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9935-8923","authenticated-orcid":false,"given":"Roy J. J.","family":"Verhage","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Groningen, University Medical Center Groningen  Groningen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3336-409X","authenticated-orcid":false,"given":"Jenneke T. H.","family":"Hamminga","sequence":"additional","affiliation":[{"name":"Department of Radiology University of Groningen, University Medical Center Groningen  Groningen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5272-7565","authenticated-orcid":false,"given":"Jan Willem","family":"Haveman","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Groningen, University Medical Center Groningen  Groningen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,23]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2019.0033"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0003\u20104975(97)00125\u20102"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0003\u20104975(00)01856\u20107"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.thorsurg.2006.01.002"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.22833"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jviscsurg.2011.09.001"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.5090\/kjtcs.2020.53.4.226"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181bcb139"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010007\u20109325\u20107"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2018.11.101"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.12.055"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605\u2010020\u201004547\u20100"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605\u2010009\u20101107\u20100"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2008.04.098"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2017.04.012"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003557"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442\u20102050.2011.01229.x"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2008.06.054"},{"key":"e_1_2_10_20_1","volume-title":"Landelijke Richtlijn: Oesofaguscarcinoom. 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