title: Dysphagia [corrected] due to solitary jejunal diverticulum after free jejunal transfer for reconstruction of the cervical oesophagus.
abstract: The free jejunal flap has been widely used in clinical practice for the restoration of the cervical oesophagus, but a variety of complications still pose problems. The purpose of this report is to present a rare complication of the jejunal flap. A diverticulum of the jejunal segment, causing severe dysphagia, occurred 4 years after flap transfer in a 50-year-old man who underwent oesophageal reconstruction due to severe stricture following caustic ingestion. The patient was treated successfully by resection of the diverticulum. When examining a patient with unidentified symptoms in the neck or dysphagia after cervical oesophageal reconstruction with free jejunal transplant the possibility of small bowel diverticula should be borne in mind in order to prevent serious life-threatening complications that may arise from it.
authors.affiliation: Departments of Plastic and Reconstructive Surgery, E-Da Hospital, I-Shou University, 1 E-Da Road, Jiau-Shu Tsuen, Yan-Chau Shiang 824, Kaohsiung County, Taiwan, ROC.
authors.forename: Emanuele
authors.initials: E
authors.lastname: Cigna
authors.forename: Omer
authors.initials: O
authors.lastname: Ozkan
authors.forename: Hung-Chi
authors.initials: HC
authors.lastname: Chen
mesh_terms: D000714:Anastomosis, Surgical; D001037:Aphasia / Q000209:etiology*; D002424:Caustics / Q000506:poisoning; D004240:Diverticulum / Q000601:surgery*; D004944:Esophagoplasty / Q000379:methods*; D004947:Esophagus / Q000293:injuries / Q000601:surgery; D006801:Humans; D006851:Hydrochloric Acid / Q000506:poisoning; D007579:Jejunal Diseases / Q000601:surgery*; D007583:Jejunum / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D013406:Suicide, Attempted; D013997:Time Factors
chemical_list: D002424:Caustics; D006851:Hydrochloric Acid