Universität zu Köln

Konradsson, M., Henegouwen, M. I. van Berge, Bruns, C., Chaudry, M. A., Cheong, E., Cuesta, M. A., Darling, G. E., Gisbertz, S. S., Griffin, S. M., Gutschow, C. A., van Hillegersberg, R., Hofstetter, W., Hoelscher, A. H., Kitagawa, Y., van Lanschot, J. J. B., Lindblad, M., Ferri, L. E., Low, D. E., Luyer, M. D. P., Ndegwa, N., Mercer, S., Moorthy, K., Morse, C. R., Nafteux, P., Nieuwehuijzen, G. A. P., Pattyn, P., Rosman, C., Ruurda, J. P., Rasanen, J., Schneider, P. M., Schroeder, W., Sgromo, B., Van Veer, H., Wijnhoven, B. P. L. and Nilsson, M. (2020). 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, 33 (4). CARY: OXFORD UNIV PRESS INC. ISSN 1442-2050

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Abstract

Delayed 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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Konradsson, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Henegouwen, M. I. van Berge UNSPECIFIED UNSPECIFIED UNSPECIFIED Bruns, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Chaudry, M. A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Cheong, E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Cuesta, M. A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Darling, G. E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Gisbertz, S. S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Griffin, S. M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Gutschow, C. A. UNSPECIFIED UNSPECIFIED UNSPECIFIED van Hillegersberg, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hofstetter, W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hoelscher, A. H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kitagawa, Y. UNSPECIFIED UNSPECIFIED UNSPECIFIED van Lanschot, J. J. B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lindblad, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ferri, L. E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Low, D. E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Luyer, M. D. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ndegwa, N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mercer, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Moorthy, K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Morse, C. R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Nafteux, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Nieuwehuijzen, G. A. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pattyn, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rosman, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ruurda, J. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rasanen, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schneider, P. M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schroeder, W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Sgromo, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Van Veer, H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Wijnhoven, B. P. L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Nilsson, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-337784
DOI:	10.1093/dote/doz074
Journal or Publication Title:	Dis. Esophagus
Volume:	33
Number:	4
Date:	2020
Publisher:	OXFORD UNIV PRESS INC
Place of Publication:	CARY
ISSN:	1442-2050
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language QUALITY-OF-LIFE; PYLORIC DRAINAGE; RISK-FACTORS; MANAGEMENT Multiple languages Gastroenterology & Hepatology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/33778