Anastomosis technique for high pharyngogastrostomy.
Pharyngogastric anastomosis, otherwise referred to as the "gastric pull-up" procedure, is the most reliable method of reconstruction after laryngopharyngectomy. We currently use a method of gastric to pharyngeal anastomosis that avoids excess tension, and thus decreases the incidence of fistulas and flap failures. With the stomach fully mobilized, the "pull-up" is brought high into the neck using a plastic bag to facilitate delivery via the posterior mediastinum. A curved, U-shaped incision is then made in the fundus of the tongue anteriorly, allowing the posterior nasopharynx to be reached without tension.
Krasna
M J
MJ
Division of Otolaryngology, University of Maryland Medical School, Baltimore 21201, USA.
Phillips
S D
SD
Gray
W C
WC
Biedlingmaier
J F
JF
D000714:Anastomosis, Surgical; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000601:surgery; D007825:Laryngectomy / Q000534:rehabilitation; D008722:Methods; D010611:Pharyngectomy / Q000534:rehabilitation; D010614:Pharynx / Q000601:surgery*; D013270:Stomach / Q000601:surgery*