ERAS guidelines-driven upper gastrointestinal contrast study after esophagectomy can detect delayed gastric conduit emptying and improve outcomes

• DOI: 10.1007/s00464-022-09695-9
• Publication Date: 2022-10-13T18:02:35Z
• Authors: F. Klevebro; M. Konradsson; S. Han; J. Luttikhold; M. Nilsson; M. Lindblad; M. Andersson; D. E. Low
• Keywords: Esophagectomy

Delayed gastric conduit emptying can occur after esophagectomy and has been shown to be associated with increased risk for postoperative complications. Application of a standardized clinical protocol including an upper gastrointestinal contrast study the potential improve outcomes.Prospective cohort all patients operated at two high-volume centers esophageal surgery. The included on day 2 or 3 All images were compiled evaluated purpose study. Clinical data was collected in IRB approved institutional databases participating centers.The 119 treated whom 112 (94.1%) completed results showed that 8 (7.1%) had radiological delayed defined as no through pylorus. Partial seen 34 (30.4%) patients, 70 (62.5%) complete emptying. Complete partial significantly earlier nasogastric tube removal (3 vs. 6 days) hospital discharge 17 days, P < 0.001). Radiological signs There was, however, association severe complications according Clavien-Dindo score, pulmonary complications, anastomotic leak need intensive care.The demonstrate studies used assess level esophagectomy. ERAS guidelines-driven pathway outcomes.