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dc.contributor.authorKonradsson, M
dc.contributor.authorvan Berge Henegouwen, M I
dc.contributor.authorBruns, C
dc.contributor.authorChaudry, M A
dc.contributor.authorCheong, E
dc.contributor.authorCuesta, M A
dc.contributor.authorDarling, G E
dc.contributor.authorGisbertz, S S
dc.contributor.authorGriffin, S M
dc.contributor.authorGutschow, C A
dc.contributor.authorvan Hillegersberg, R
dc.contributor.authorHofstetter, W
dc.contributor.authorHölscher, A H
dc.contributor.authorKitagawa, Y
dc.contributor.authorvan Lanschot, J J B
dc.contributor.authorLindblad, M
dc.contributor.authorFerri, L E
dc.contributor.authorLow, D E
dc.contributor.authorLuyer, M D P
dc.contributor.authorNdegwa, N
dc.contributor.authorMercer, S
dc.contributor.authorMoorthy, K
dc.contributor.authorMorse, C R
dc.contributor.authorNafteux, P
dc.contributor.authorNieuwehuijzen, G A P
dc.contributor.authorPattyn, P
dc.contributor.authorRosman, C
dc.contributor.authorRuurda, J P
dc.contributor.authorRäsänen, J
dc.contributor.authorSchneider, P M
dc.contributor.authorSchröder, W
dc.contributor.authorSgromo, B
dc.contributor.authorVan Veer, H
dc.contributor.authorWijnhoven, B P L
dc.contributor.authorNilsson, M
dc.date.accessioned2020-11-24T16:05:16Z
dc.date.available2020-11-24T16:05:16Z
dc.date.issued2020-04
dc.date.submitted2020-11
dc.identifier.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/doz074en_US
dc.identifier.pmid31608938
dc.identifier.doi10.1093/dote/doz074
dc.identifier.urihttp://hdl.handle.net/2336/621578
dc.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 Downloaden_US
dc.description.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.en_US
dc.description.sponsorshipMedtronicen_US
dc.language.isoenen_US
dc.publisherOxford University Pressen_US
dc.relation.urlhttps://academic.oup.com/dote/article/33/4/doz074/5585602en_US
dc.rights© The Author(s) 2019. Published by Oxford University Press on behalf of International Society for Diseases of the Esophagus.
dc.subjectconsensusen_US
dc.subjectesophagectomyen_US
dc.subjectgastric emptyingen_US
dc.subjectmalnutritionen_US
dc.subjectcanceren_US
dc.subjectNæringarskorturen_US
dc.subjectKrabbameinen_US
dc.subjectMeltingarfærien_US
dc.subject.meshEsophagectomyen_US
dc.titleDiagnostic criteria and symptom grading for delayed gastric conduit emptying after esophagectomy for cancer: international expert consensus based on a modified Delphi process.en_US
dc.typeArticleen_US
dc.identifier.eissn1442-2050
dc.contributor.department1Department of Clinical Science, Intervention and Technology, Karolinska Institute, Stockholm, Sweden. 2Department of Gastroenterology, Landspitali National University Hospital, Reykjavik, Iceland. 3Amsterdam UMC, location AMC, University of Amsterdam, Department of Surgery, Cancer Center Amsterdam. 4Department of General, Visceral and Cancer Surgery, University of Cologne, Cologne, Germany. 5Department of Surgery, Royal Marsden Hospital, London, UK. 6Norfolk and Norwich University Hospital, Norwich, UK. 7Department of Surgery, Amsterdam UMC, location VUmc, Amsterdam, Netherlands. 8Department of Surgery, Division of Thoracic Surgery, University Health Network, University of Toronto, Toronto, Canada. 9Northern Oesophagogastric Unit, Royal Victoria Infirmary, Newcastle upon Tyne, UK. 10Department of Surgery and Transplantation, University Hospital Zurich, Zurich, Switzerland. 11Universitair Medisch Centrum Utrecht, Utrecht, The Netherlands. 12Department of Thoracic and Cardiovascular Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas. 13Centre for Esophageal and Gastric Surgery, AGAPLESION Markus Krankenhaus, Frankfurt, Germany. 14Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-Ku, Tokyo, 160-8582, Japan. 15Department of Surgery, Erasmus MC, University Medical Center, Rotterdam, The Netherlands. 16Department of Upper Abdominal Diseases, Karolinska University Hospital, Stockholm, Sweden. 17Department of Thoracic and Upper Gastrointestinal Surgery, McGill University Health Centre, Montreal, QC, Canada. 18Virginia Mason Medical Center, Seattle, WA, USA. 19Department of Surgery, Catharina Ziekenhuis, Eindhoven, The Netherlands. 20Queen Alexandra Hospital Portsmouth, United Kingdom. 21The Center for Visceral, Thoracic and Specialized Tumor Surgery, Hirslanden Medical Center, Zurich, Switzerland. 22Division of Thoracic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA. 23Department of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium. 24Department of Chronic Diseases, Metabolism and Aging, KU Leuven, Belgium. 25Department of Gastrointestinal Surgery, Ghent University Hospital, Ghent, Belgium. 26Department of surgery, Radboud university center Nijmegen, The Netherlands. 27Department of General, Thoracic and Esophageal Surgery, Heart and Lung Center, Helsinki University Hospital and Helsinki University, Helsinki, Finland. 28Oxford University Hospitals, Oxford, UK. 29Department of Surgery and Cancer, Imperial College London, London, UK.en_US
dc.identifier.journalDiseases of the esophagus : official journal of the International Society for Diseases of the Esophagusen_US
dc.rights.accessOpen Access - Opinn aðganguren_US
dc.departmentcodeGAS12
dc.source.journaltitleDiseases of the esophagus : official journal of the International Society for Diseases of the Esophagus
dc.source.volume33
dc.source.issue4
refterms.dateFOA2020-11-24T16:05:17Z
dc.source.countryUnited States


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