title: Supercharged reversed gastric tube technique: a microvascular anastomosis procedure for pharyngo-oesophageal reconstruction after total laryngopharyngo-oesophagectomy.
abstract: OBJECTIVE
  This study aimed to assess the supercharged reversed gastric tube (RGT) technique as a method for pharyngo-oesophageal reconstruction after total laryngopharyngo-oesophagectomy (TLPE).
  
  
  METHODS
  From May 2011 to April 2012, we performed five high anastomoses for pharyngo-oesophageal reconstructions using a supercharged RGT after TLPE in patients aged from 43 to 75 years. Synchronous hypopharyngeal and oesophageal malignancies were present in 3 patients, and they had previously received systemic chemotherapy and external irradiation at curative doses. Hypopharyngeal and oesophageal injuries due to extensive caustic trauma were present in the other 2 patients. Indications for this technique, length of the hospital stay, morbidity and mortality and functional results during the follow-up were evaluated in this retrospective review.
  
  
  RESULTS
  All patients had a brief operation procedure with only a single-bowel of anastomosis, no perioperative complications and an early return to a good quality of life; no mortalities were observed. After a median of 7-month follow-up, all patients were able to tolerate a regular diet and did not exhibit symptoms of reflux or dumping. Conduit strictures or redundancy has not been found to date. However, 1 patient died of distant metastatic disease.
  
  
  CONCLUSIONS
  The supercharged RGT technique is a safe and advantageous method for reconstructing the pharyngo-oesophageal segment in an extended surgical field and contributes to improvement in the patient's quality of life.
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
authors.forename: Pei-Ming
authors.initials: PM
authors.lastname: Huang
authors.forename: Chiung-Nien
authors.initials: CN
authors.lastname: Chen
authors.forename: Tsung-Lin
authors.initials: TL
authors.lastname: Yang
authors.forename: Jenq-Yuh
authors.initials: JY
authors.lastname: Ko
authors.forename: Jang-Ming
authors.initials: JM
authors.lastname: Lee
authors.forename: Nai-Chen
authors.initials: NC
authors.lastname: Cheng
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods*; D016629:Esophagectomy / Q000009:adverse effects / Q000379:methods; D004947:Esophagus / Q000601:surgery*; D005260:Female; D006801:Humans; D007825:Laryngectomy / Q000009:adverse effects / Q000379:methods; D007830:Larynx / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010611:Pharyngectomy / Q000009:adverse effects / Q000379:methods; D010614:Pharynx / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods*; D012189:Retrospective Studies
keywords: Laryngopharyngo-oesophagectomy; Supercharged reversed gastric tube