title: [The free jejunal graft for the reconstruction of the hypopharynx and cervical esophagus].
abstract: The free jejunal transfer for primary reconstruction of the cervical oesophagus after laryngo-pharyngectomy was described more than 20 years ago. Its popularity as a surgical method has increased in recent years with improvement in microsurgical techniques. Tumour resection and preparation of the jejunal graft are performed synchronously by two surgical teams. After suturing the graft into the defect the mesenteric vessels are usually anastomosed to the superior thyroid pedicle. In this series four patients are presented, in three there were no complications, in the fourth a fistula developed despite adequate vascularisation of the transfer. The jejunal graft has proved to be a good functional replacement for the cervical oesophagus. Experience in other series have shown the risks of necrosis, fistulae, stenosis and abdominal complications to be minimal.
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D004938:Esophageal Neoplasms / Q000601:surgery*; D004947:Esophagus / Q000601:surgery; D005260:Female; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000601:surgery*; D007013:Hypopharynx / Q000601:surgery; D007583:Jejunum / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection; D010610:Pharyngeal Neoplasms / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D011379:Prognosis; D013536:Suture Techniques
vernacular_title: Das freie Jejunuminterponat zur Rekonstruktion von Hypopharynx und zervikalem Osophagus.