title: Second free jejunal transfer in complicated pharyngoesophageal reconstructions.
abstract: The authors report two cases of pharyngoesophageal reconstruction using free jejunum transfer, which required additional microsurgical reconstruction, due to total or partial loss of the free jejunal graft, despite successful microvascular anastomoses. Replacement and additional transfer of the second free jejunum segment were successfully carried out, with minimal risk and low morbidity. The second free jejunal transfer is one of the reliable reconstructive choices in the management of complicated pharyngoesophageal reconstruction with free jejunum.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Furukawa
authors.forename: Yuhei
authors.initials: Y
authors.lastname: Yamamoto
authors.forename: Satoru
authors.initials: S
authors.lastname: Sasaki
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Sekido
authors.forename: Akiteru
authors.initials: A
authors.lastname: Takeuchi
authors.forename: Tsuneki
authors.initials: T
authors.lastname: Sugihara
authors.forename: Satoshi
authors.initials: S
authors.lastname: Fukuda
authors.forename: Shunnichi
authors.initials: S
authors.lastname: Okushiba
mesh_terms: D000714:Anastomosis, Surgical; D016629:Esophagectomy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000601:surgery*; D007583:Jejunum / Q000637:transplantation*; D007825:Laryngectomy / Q000379:methods; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection; D010611:Pharyngectomy / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D013524:Surgical Flaps; D020858:Tissue and Organ Harvesting; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology