Esophagus and Hypopharyngeal Reconstruction

Evans, Karen; Mardini, Samir; Salgado, Christopher J.; Chen, Hung-Chi

doi:10.1055/s-0030-1255339

Cited by 22 publications

(40 citation statements)

References 60 publications

(72 reference statements)

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“…95.8% of non‐radiated patients in the GP group were able to return to oral diet. This is comparable to rates of 83%‐98% reported in the literature . The stricture formation rate of 2.9% was also very low in the GP group.…”

Section: Discussionsupporting

confidence: 87%

See 1 more Smart Citation

Comparison of radial forearm free flap and gastric pull‐up in pharyngo‐oesophageal reconstruction

Sokoya

Vincent

Cohn

et al. 2019

Clinical Otolaryngology

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Section: Discussionsupporting

confidence: 87%

“…This is comparable to rates of 83%-98% reported in the literature. 9,10 The stricture formation rate of 2.9% was also very low in the GP group. The non-radiated patients in this group had no stricture formation.…”

Section: Discussionmentioning

confidence: 90%

Comparison of radial forearm free flap and gastric pull‐up in pharyngo‐oesophageal reconstruction

Sokoya

Vincent

Cohn

et al. 2019

Clinical Otolaryngology

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“…Indications for cervical esophageal reconstruction mainly include traumatic injury or dysfunction caused by congenital disorders, corrosive injury, or radiation damage (8). Furthermore, reconstruction may be indicated as salvage surgery of accidental injury during thyroidectomy just as showed in our report.…”

Section: Discussionmentioning

confidence: 61%

Free jejunum interposition as salvage surgery after cervical esophagus injury

et al. 2016

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In rare cases when stomach could not be suitable for esophageal replacement, the jejunum should probably be suitable for esophageal reconstruction. However, the widespread prevalence of jejunal interposition is precluded because of its complexity. Here we present a case of a 74-year-old female who underwent free jejunal interposition as salvage surgery. In this case, cervical esophagus was injured during thyroidectomy. Nine months later, replacement of injured part of esophagus with free jejunum was performed. End-to-end and end-to-side anastomosis were used for esophagus-jejunum and vascular-to-vascular anastomosis respectively. This patient was discharged from hospital 15 days postoperatively. No severe postoperative complication happened. Only minor late operation complication (anastomotic stricture) occurred during 13 years of annual follow-up.

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“…Indications for cervical esophageal resection and short-distance reconstruction include limited cervical esophageal cancer, hypopharyngeal cancer invading the cervival esophagus and traumatic injury or dysfunction caused by congenital disorders, corrosive inury, or radiation damage [ 1 , 2 ]. Furthermore, reconstruction may be indicated as salvage surgery for failed gastric or colonic interposition grafts after prior esophagectomy when the remnant of the conduit is in good condition.…”

Section: Introductionmentioning

confidence: 99%

Retrograde stapling of a free cervical jejunal interposition graft: a technical innovation and case report

Hackl¹,

Popp²,

Ehehalt³

et al. 2014

BMC Surg

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BackgroundFree jejunal interposition is a useful technique for reconstruction of the cervical esophagus. However, the distal anastomosis between the graft and the remaining thoracic esophagus or a gastric conduit can be technically challenging when located very low in the thoracic aperture. We here describe a modified technique for retrograde stapling of a jejunal graft to a failed gastric conduit using a circular stapler on a delivery system.Case presentationA 56 year-old patient had been referred for esophageal squamous cell carcinoma at 20 cm from the incisors. On day 8 after thoracoabdominal esophagectomy with gastric pull-up, an anastomotic leakage was diagnosed. A proximal-release stent was successfully placed by gastroscopy and the patient was discharged. Two weeks later, an esophagotracheal fistula occurred proximal to the esophageal stent. Cervical esophagostomy was performed with cranial closure of the gastric conduit, which was left in situ within the right hemithorax. Three months later, reconstruction was performed using a free jejunal interposition. The anvil of a circular stapler (Orvil®, Covidien) was placed transabdominally through an endoscopic rendez-vous procedure into the gastric conduit. A free jejunal graft was retrogradely stapled to the proximal end of the conduit. Microvascular anastomoses were performed subsequently. The proximal anastomosis of the conduit was completed manually after reperfusion.ConclusionsThis modified technique allows stapling of a jejunal interposition graft located deep in the thoracic aperture and is therefore a useful method that may help to avoid reconstruction by colonic pull-up and thoracotomy.

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Esophagus and Hypopharyngeal Reconstruction

Cited by 22 publications

References 60 publications

Comparison of radial forearm free flap and gastric pull‐up in pharyngo‐oesophageal reconstruction

Comparison of radial forearm free flap and gastric pull‐up in pharyngo‐oesophageal reconstruction

Free jejunum interposition as salvage surgery after cervical esophagus injury

Retrograde stapling of a free cervical jejunal interposition graft: a technical innovation and case report

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