Surgical Endoscopy · 8 authors, 4 centres
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In a prospective cohort of 119 patients undergoing esophagectomy at two high-volume centers, an ERAS-driven upper gastrointestinal contrast study on postoperative day 2–3 identified delayed gastric conduit emptying in 7.1% of patients, which was associated with significantly longer nasogastric tube duration and hospital stay.
This prospective cohort study enrolled 119 patients who underwent esophagectomy at two high-volume centers between June 2019 and February 2021. Of 112 patients who completed the contrast study, 7.1% had no conduit emptying, 30.4% had partial emptying, and 62.5% had complete emptying. 17 days, P < 0.001). Delayed gastric conduit emptying was associated with increased risk of overall postoperative complications but not with severe complications according to Clavien–Dindo score, pulmonary complications, anastomotic leak, or need for intensive care. Results suggest that routine upper gastrointestinal contrast studies within an ERAS pathway can objectively assess gastric conduit emptying and guide postoperative management.
