Reconstruction using a free jejunal graft for surgery of the hypopharynx and the cervical esophagus in patients with a history of previous upper gastro-intestinal surgery.
Case 1 had undergone surgery for antrum stenosis 20 years earlier as well as subsequent surgery with reconstruction by Billroth II for carcinoma occurring at the anastmotic site. Case 2 had undergone partial resection of the jejunum for injury of the intestine. Case 3 had undergone reconstruction of the thoracic esophagus using the stomach following excision of carcinoma. For these 3 cases, reconstruction using a free jejunal flap was performed and no disturbance was observed at the donor site. These results strongly suggest that reconstruction using a free jejunal graft be used in patients with a history of previous gastro-intestinal surgeries, with careful observation before and during surgery.
Department of Otorhinolaryngology, Nagoya City University Medical School, Japan.
S
S
Kamei
Y
Y
Takeichi
S
S
Oyama
S
S
Baba
D000368:Aged; D002277:Carcinoma / Q000473:pathology / Q000601:surgery; D004938:Esophageal Neoplasms / Q000473:pathology / Q000601:surgery; D004947:Esophagus / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000473:pathology / Q000601:surgery; D007013:Hypopharynx / Q000473:pathology / Q000601:surgery*; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016378:Tissue Transplantation; D014182:Transplantation, Autologous