The stomach as a microvascularly augmented flap for esophageal replacement.
We present a case of difficult esophageal reconstruction after total esophagectomy for iatrogenic perforation in a diseased esophagus. The stomach was used for esophageal reconstruction as a retrosternal microvascularly augmented flap; the vascular supply to the stomach had been interrupted during previous abdominal operations. The blood supply to the stomach conduit was restored by separate arterial and venous anastomosis between the right internal thoracic vessels and the left gastric vessels.
Valji
A M
AM
Division of Thoracic Surgery, University of Ottawa, Ottawa Hospital, Ontario, Canada.
Maziak
D E
DE
Allen
M W
MW
Shamji
F M
FM
D000368:Aged; D000369:Aged, 80 and over; D004939:Esophageal Perforation / Q000601:surgery; D004944:Esophagoplasty / Q000379:methods*; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D008833:Microcirculation; D013270:Stomach / Q000098:blood supply / Q000601:surgery*; D013524:Surgical Flaps