Diagnostic criteria and symptom grading for delayed gastric conduit emptying after esophagectomy for cancer: international expert consensus based on a modified Delphi process.
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
van Berge Henegouwen, M I
Chaudry, M A
Cuesta, M A
Darling, G E
Gisbertz, S S
Griffin, S M
Gutschow, C A
van Hillegersberg, R
Hölscher, A H
van Lanschot, J J B
Ferri, L E
Low, D E
Luyer, M D P
Morse, C R
Nieuwehuijzen, G A P
Ruurda, J P
Schneider, P M
Van Veer, H
Wijnhoven, B P L
MetadataShow full item record
CitationKonradsson M, van Berge Henegouwen MI, Bruns C, Chaudry MA, Cheong E, Cuesta MA, et al. Diagnostic criteria and symptom grading for delayed gastric conduit emptying after esophagectomy for cancer: international expert consensus based on a modified Delphi process. Dis Esophagus. 2020 Apr 15;33(4):doz074. doi: 10.1093/dote/doz074
AbstractDelayed gastric conduit emptying (DGCE) after esophagectomy for cancer is associated with adverse outcomes and troubling symptoms. Widely accepted diagnostic criteria and a symptom grading tool for DGCE are missing. This hampers the interpretation and comparison of studies. A modified Delphi process, using repeated web-based questionnaires, combined with live interim group discussions was conducted by 33 experts within the field, from Europe, North America, and Asia. DGCE was divided into early DGCE if present within 14 days of surgery and late if present later than 14 days after surgery. The final criteria for early DGCE, accepted by 25 of 27 (93%) experts, were as follows: >500 mL diurnal nasogastric tube output measured on the morning of postoperative day 5 or later or >100% increased gastric tube width on frontal chest x-ray projection together with the presence of an air-fluid level. The final criteria for late DGCE accepted by 89% of the experts were as follows: the patient should have 'quite a bit' or 'very much' of at least two of the following symptoms; early satiety/fullness, vomiting, nausea, regurgitation or inability to meet caloric need by oral intake and delayed contrast passage on upper gastrointestinal water-soluble contrast radiogram or on timed barium swallow. A symptom grading tool for late DGCE was constructed grading each symptom as: 'not at all', 'a little', 'quite a bit', or 'very much', generating 0, 1, 2, or 3 points, respectively. For the five symptoms retained in the diagnostic criteria for late DGCE, the minimum score would be 0, and the maximum score would be 15. The final symptom grading tool for late DGCE was accepted by 27 of 31 (87%) experts. For the first time, diagnostic criteria for early and late DGCE and a symptom grading tool for late DGCE are available, based on an international expert consensus process.
DescriptionTo access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Download
Rights© The Author(s) 2019. Published by Oxford University Press on behalf of International Society for Diseases of the Esophagus.
- Delayed emptying of the gastric conduit after esophagectomy.
- Authors: Konradsson M, Nilsson M
- Issue date: 2019 Apr
- Pathophysiological Abnormalities in Functional Dyspepsia Subgroups According to the Rome III Criteria.
- Authors: Vanheel H, Carbone F, Valvekens L, Simren M, Tornblom H, Vanuytsel T, Van Oudenhove L, Tack J
- Issue date: 2017 Jan
- Gastric electrical stimulation: an evidence-based analysis.
- Authors: Medical Advisory Secretariat.
- Issue date: 2006
- A prospective evaluation of dietary status and symptoms after near-total esophagectomy without gastric emptying procedure.
- Authors: Ludwig DJ, Thirlby RC, Low DE
- Issue date: 2001 May
- Thoracoscopic Implant of Neurostimulator for Delayed Gastric Conduit Emptying After Esophagectomy.
- Authors: Asti E, Lovece A, Bonavina L
- Issue date: 2016 Apr