Free jejunal transfer for patients with a history of esophagectomy and gastric pull-up.
Some patients who undergo pharyngolaryngoesophagectomy with free jejunal transfer reconstruction have a history of esophagectomy and gastric pull-up. We retrospectively reviewed a series of 12 patients to examine the characteristic problems in free jejunal transfer for patients with a history of esophagectomy and gastric pull-up. There was no postoperative thrombosis. No anastomotic leakage or fistula was found. Five of 12 patients presented postoperatively with dysphagia. Two of the 5 patients showed stricture at the distal anastomosis. Three of the 5 patients showed no stricture. However, their reconstructed tracts were tortuous around the distal anastomosis, which could be a cause of dysphagia. Even in patients with a history of esophagectomy and gastric pull-up, free jejunal transfer can be performed safely, although the functional outcome of swallowing is not always satisfactory.
Suga
Hirotaka
H
Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan. sugah-tky@umin.ac.jp
Okazaki
Mutsumi
M
Sarukawa
Shunji
S
Takushima
Akihiko
A
Asato
Hirotaka
H
D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D003680:Deglutition Disorders / Q000000981:diagnostic imaging / Q000601:surgery*; D004940:Esophageal Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D016629:Esophagectomy; D005500:Follow-Up Studies; D006801:Humans; D007583:Jejunum / Q000637:transplantation*; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D010039:Otorhinolaryngologic Neoplasms / Q000601:surgery*; D010614:Pharynx / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D012086:Reoperation; D012189:Retrospective Studies; D013270:Stomach / Q000601:surgery*