Clinical evaluation and morbidity of 201 free jejunal transfers for oesophagopharyngeal reconstruction during the 20 years 1984-2003.
We evaluated 192 patients who had 201 free jejunal transfers for oesophagopharyngeal reconstruction during the 20 years 1984-2003. The main postoperative complications were thrombosis, leaks, and stenosis. In this series, the rate of thrombosis was 7/201 (3.5%), that of leaks was 17/201 (8.5%), and that of stenosis was 25/201 (13.0%). When we assessed the relation between pre-existing conditions, surgical techniques, and these complications, we found only one significant difference: a history of alcohol misuse was associated with a reduction in the incidence of thrombosis. The surgical techniques did not affect the development of leaks or stenosis, which means that a complicated surgical technique is unnecessary.
Sarukawa
Shunji
S
Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Tokyo. fwkc8662@mb.infoweb.ne.jp
Asato
Hirotaka
H
Okazaki
Mutsumi
M
Nakatsuka
Takashi
T
Takushima
Akihiko
A
Harii
Kiyonori
K