Interposition of Retrosternal Pedicled Jejunum After Hypopharyngolaryngo-Esophagogastrectomy

Ann Thorac Surg. 2019 Sep;108(3):e217-e219. doi: 10.1016/j.athoracsur.2019.04.059. Epub 2019 Jun 7.

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.

Publication types

  • Case Reports

MeSH terms

  • Accidental Injuries / complications
  • Adult
  • Anastomosis, Surgical / adverse effects
  • Anastomosis, Surgical / methods
  • Esophagectomy / methods
  • Follow-Up Studies
  • Gastrectomy / methods
  • Graft Survival
  • Humans
  • Jejunum / transplantation*
  • Laryngectomy / methods
  • Male
  • Pharyngectomy / methods
  • Plastic Surgery Procedures / methods*
  • Postoperative Complications / physiopathology
  • Postoperative Complications / surgery
  • Reoperation / methods
  • Shock, Septic / etiology
  • Shock, Septic / surgery*
  • Surgical Flaps / transplantation*