Evidence map›Paper›PMID 42390576›Full record

ArticleSurgery today2026

Clinical significance and predictive factors of delayed gastric conduit emptying after esophagectomy.

Yuta Sato, Yoshihiro Tanaka, Yuji Hatanaka, Seito Fujibayashi, Noriki Mitsui, Ryoma Yokoi, Takeshi Horaguchi, Keita Matsumoto, Masahiro Fukada, Itaru Yasufuku and 3 more

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Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Yuta SatoDepartment of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu City, 501-1194, Gifu Prefecture, Japan.
Yoshihiro TanakaDepartment of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu City, 501-1194, Gifu Prefecture, Japan. tanaka.yoshihiro.h5@f.gifu-u.ac.jp.
Yuji HatanakaDepartment of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu City, 501-1194, Gifu Prefecture, Japan.
Seito FujibayashiDepartment of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu City, 501-1194, Gifu Prefecture, Japan.
Noriki MitsuiDepartment of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu City, 501-1194, Gifu Prefecture, Japan.
Ryoma YokoiDepartment of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu City, 501-1194, Gifu Prefecture, Japan.
Takeshi HoraguchiDepartment of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu City, 501-1194, Gifu Prefecture, Japan.
Keita MatsumotoDepartment of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu City, 501-1194, Gifu Prefecture, Japan.
Masahiro FukadaDepartment of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu City, 501-1194, Gifu Prefecture, Japan.
Itaru YasufukuDepartment of Clinical Anatomy Development Studies, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu City, 501- 1194, Gifu Prefecture, Japan.
Ryuichi AsaiDepartment of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu City, 501-1194, Gifu Prefecture, Japan.
Jesse Yu TajimaDepartment of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu City, 501-1194, Gifu Prefecture, Japan.
Nobuhisa MatsuhashiDepartment of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu City, 501-1194, Gifu Prefecture, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDelayed gastric conduit emptying (DGCE) is a functional complication after esophagectomy that can cause nutritional and respiratory issues, but its risk factors remain unclear.

methodsWe 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.

resultsDGCE 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).

conclusionsPost-esophagectomy DGCE was linked to excessive conduit length and insufficient fixation. Careful intraoperative handling and structured long-term follow-up are crucial.

Indexed as

EsophagectomyGastric EmptyingPostoperative ComplicationsStomachAgedBody Mass IndexFemaleFollow-Up StudiesHumansMaleMediastinumMiddle AgedPneumoniaRetrospective StudiesRisk FactorsSex FactorsBody weight lossDelayed gastric conduit emptyingEsophagectomyPostoperative complicationsSeverity classification

Identifiers

PMID42390576
PMCPMC13558326

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.