Delayed gastric emptyingDelayed gastric emptying (DGE) (DGE) after oesophagectomyOesophagectomy and gastric conduit reconstructionGastric conduit reconstruction is a prevalent complicationComplications affecting 15–39% of patients, primarily attributed to pyloric spasmPyloric spasm and complete vagotomyVagotomy-induced gastric motility dysfunction. Temporary in nature for most, DGE's mechanisms include vagal dysfunction, adverse pressure gradients, conduit torsion, and oesophageal hiatus tightness. Tabularised stomachs demonstrate superior emptying compared to whole stomachs, with the addition of pyloric drainage showing no impact on emptying. Severe cases necessitate revision surgeryRevision surgery, often complex and with significant morbidity, yet yielding notable symptomatic improvementsSymptomatic improvement. Techniques involve conduit reshapingConduit reshaping, hernia reductionHernia reduction, and tabularisation, ensuring careful conduit mobilization to preserve vascularity. A case study is presented illustrating the reshaping of a gastric conduitGastric conduits to improve emptying.