title: Free jejunal graft for hypopharyngeal and esophageal reconstruction.
abstract: OBJECTIVE
  This study assessed the techniques of the free jejunal graft for the reconstruction of hypopharynx or cervical esophagus and discussed the main aspects related to those procedures.
  
  
  RESULTS
  By using free jejunal grafts, we reconstructed 54 hypopharyngeal and cervical esophageal cancers. In this study, 23 out of 54 patients had a malignant tumor located in the hypopharynx and 31 in the cervical esophagus (27 primary cases and four secondary cases). Despite the multi-step and time-consuming procedure, we did not incur any trans-operative complication. Furthermore, we undertook the larynx preserving cervical esophagectomy and free jejunal graft reconstruction in six patients with cervical esophageal cancer, and those patients acquired a good quality of life.
  
  
  CONCLUSIONS
  For the reconstruction of hypopharynx or cervical esophagus, the free jejunal graft is a very useful technique and improves the patient's quality of life.
authors.affiliation: Department of Gastroenterological Surgery, Transplant, and Surgical Oncology, Graduate School of Medicine and Dentistry, Okayama University, 2-5-1 Shikatacho, Okayama 700-8558, Japan.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Shirakawa
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Naomoto
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Noma
authors.forename: Ryoko
authors.initials: R
authors.lastname: Ono
authors.forename: Tetsuji
authors.initials: T
authors.lastname: Nobuhisa
authors.forename: Masahiko
authors.initials: M
authors.lastname: Kobayashi
authors.forename: Toshiya
authors.initials: T
authors.lastname: Fujiwara
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Noguchi
authors.forename: Takaomi
authors.initials: T
authors.lastname: Ohkawa
authors.forename: Tomoki
authors.initials: T
authors.lastname: Yamatsuji
authors.forename: Minoru
authors.initials: M
authors.lastname: Haisa
authors.forename: Junji
authors.initials: J
authors.lastname: Matsuoka
authors.forename: Mehmet
authors.initials: M
authors.lastname: Gunduz
authors.forename: Noriaki
authors.initials: N
authors.lastname: Tanaka
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D004724:Endoscopy; D004938:Esophageal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D016629:Esophagectomy; D004947:Esophagus / Q000473:pathology; D005260:Female; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D007013:Hypopharynx / Q000473:pathology; D007583:Jejunum / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection; D009367:Neoplasm Staging; D011183:Postoperative Complications; D011788:Quality of Life; D013997:Time Factors; D016896:Treatment Outcome