Multi-segmental reverse loops for long-segment, supercharged pedicled ileum graft for total oesophageal reconstruction: an alternative for anisoperistaltic ileum graft.
In this article, a new technique for turn-over jejunal graft without kinking of its mesenteric vessels is described. Graft necrosis occurred on a left colon oesophageal reconstruction performed for a 56-year-old-woman. A salvage oesophageal reconstruction was performed by a long-segment, supercharged, pedicled anisoperistaltic ileum. Regurgitations were permanent in spite of medical treatment. Segmental reverse of ileum loops was used to turn over the direction of peristaltism without mesenteric twisting. The technique has never been described previously.
Jougon
Jacques
J
Université Victor Ségalen Bordeaux 2, Service de Chirurgie Thoracique, CHU de Bordeaux, avenue de Magellan, 33604 Pessac, France. Jacques.jougon@chu-bordeaux.fr
Thumerel
Mathieu
M
Rodriguez
Arnaud
A
Velly
Jean-François
JF
D002057:Burns, Chemical / Q000601:surgery; D004944:Esophagoplasty / Q000379:methods*; D005260:Female; D006801:Humans; D007082:Ileum / Q000637:transplantation*; D008875:Middle Aged; D010528:Peristalsis; D016879:Salvage Therapy / Q000379:methods