title: McKeown esophagogastrectomy for esophageal carcinoma after free jejunal graft.
abstract: Several well-described options exist for reconstruction after total esophagectomy for esophageal carcinoma. We present the case of a patient who was treated for squamous cell carcinoma of the esophagus; the patient had undergone treatment with neoadjuvant chemoradiation and free jejunal transfer for a cervical esophageal tumor 13 years earlier. Through a three-field approach, esophagectomy and reconstruction with a cervical gastrojejunal anastomosis were performed.
authors.affiliation: Joseph B. Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.
authors.forename: Douglas P
authors.initials: DP
authors.lastname: MacMillan
authors.forename: Ignacio G
authors.initials: IG
authors.lastname: Duarte
authors.forename: Kamal A
authors.initials: KA
authors.lastname: Mansour
authors.forename: R Sudhir
authors.initials: RS
authors.lastname: Sundaresan
mesh_terms: D000714:Anastomosis, Surgical; D002294:Carcinoma, Squamous Cell / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery*; D017024:Chemotherapy, Adjuvant; D003131:Combined Modality Therapy; D004938:Esophageal Neoplasms / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods*; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D007583:Jejunum / Q000637:transplantation*; D008875:Middle Aged; D009381:Neoplasms, Radiation-Induced / Q000601:surgery*; D016609:Neoplasms, Second Primary / Q000601:surgery*; D018714:Radiotherapy, Adjuvant; D012086:Reoperation