Abstract
Reconstruction of the upper gastrointestinal tract presents a surgical challenge after esophagogastrectomy, especially when it includes hypopharyngolaryngectomy. Reconstruction is generally undertaken with interposed colon as a substitute conduit, but it carries several risks. Alternative reconstruction of the foregut with pedicled retrosternal jejunum anastomosed at the level of the base of the tongue is described.
Copyright © 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
MeSH terms
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Accidental Injuries / complications
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Adult
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Anastomosis, Surgical / adverse effects
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Anastomosis, Surgical / methods
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Esophagectomy / methods
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Follow-Up Studies
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Gastrectomy / methods
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Graft Survival
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Humans
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Jejunum / transplantation*
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Laryngectomy / methods
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Male
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Pharyngectomy / methods
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Plastic Surgery Procedures / methods*
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Postoperative Complications / physiopathology
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Postoperative Complications / surgery
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Reoperation / methods
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Shock, Septic / etiology
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Shock, Septic / surgery*
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Surgical Flaps / transplantation*