Free jejunal grafts of the pharynx: surgical methods, complications, and radiographic evaluation.
Free jejunal grafts have been used in the surgical treatment of patients with carcinoma of the pharynx and upper esophagus. Post-operative complications, including swallowing difficulty, are frequent and radiographic assessment may be required. In this pictorial paper, we describe the surgical technique of free jejunal grafting of the pharyngoesophagus, and the radiographic appearances and clinical importance of early and delayed complications following the procedure. Dysphagia after placement of a jejunal graft is a common occurrence which is often multifactorial, and may be related to functional, anatomic, or a combination of factors.
Smith
D F
DF
Department of Radiology, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA.
Ott
D J
DJ
McGuirt
W F
WF
Albertson
D A
DA
Chen
M Y
MY
Gelfand
D W
DW
D002294:Carcinoma, Squamous Cell / Q000150:complications; D002933:Cineradiography / Q000379:methods*; D003680:Deglutition Disorders / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D007583:Jejunum / Q000637:transplantation*; D010610:Pharyngeal Neoplasms / Q000150:complications; D010614:Pharynx / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D013524:Surgical Flaps