Nojiri M, et al. - The impact of gastrojejunal anatomic position on the incidence of delayed gastric emptying after pancreatoduodenectomy was ascertained. Multivariate analysis indicated that a sagittal fundus anastomotic angle >60 degrees was the only independent risk factor of delayed gastric emptying. The validation study proposed that the median degree of sagittal fundus anastomotic angle increased as the gastric emptying grade increased. Findings thereby suggest a significant impact of gastrojejunal anatomic position after pancreatoduodenectomy on the incidence of delayed gastric emptying.