Curious complication after oroesophageal reconstruction with free jejunal flap: intussusception-like deformity of transferred jejunum.
Regions of oropharyngeal cancer, hypopharyngeal cancer, and cervical esophageal cancer in a 70-year-old man were surgically resected and reconstructed with a free jejunal flap. Postoperatively the patient showed severe dysphagia and a chimneylike protrusion in the oral cavity. In a second operation, a dorsal, longitudinal incision for phimosis was made to release the stenosis; however, the dysphagia persisted, and peristalis seemed to interfere with deglutition. Here, we discuss the cause of the dysphagia, a complication of total reconstruction of oroesophageal defects with a single free jejunal flap, and the procedures of reconstruction.
Sakakibara
Shunsuke
S
Department of Plastic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Tahara
Shinya
S
Hashikawa
Kazunobu
K
Nibu
Ken-ichi
K
D000368:Aged; D003251:Constriction, Pathologic; D003680:Deglutition Disorders / Q000209:etiology*; D004938:Esophageal Neoplasms / Q000601:surgery; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000601:surgery*; D008297:Male; D019647:Oral Surgical Procedures / Q000009:adverse effects*; D009959:Oropharyngeal Neoplasms / Q000601:surgery*; D010528:Peristalsis; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps