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Abstract
Two patients underwent subtotal pharyngo-oesophageal reconstruction using jejunum transferred by means of microvascular anastomosis. In both cases, two sets of vascular anastomoses were required, one in the lower neck and the other at the mid-sternal level. In the first patient, a continuous length of jejunum was employed but this led to great redundancy of the bowel on account of coiling as a result of its mesenteric attachment. In the second case, two isolated loops were employed with minimal redundancy. An anatomical study on three fresh cadavers indicated that the maximum defect which can be bridged by a single loop of jejunum lies between 15 and 20 cm. No particular part of the jejunum or ileum seems particularly advantageous in terms of its ability to span large defects.
Reference
- Secondary reconstryction of oesophagus with free vascularized ileal transfer.British Journal of Plastic Surgery. 1981; 34: 17
- Reconstruction of the cervical oesophagus hypopharynx and oral cavity using free jejunal transfer.American Journal of Surgery. 1980; 140: 487
- Immediate reconstruction of the cervical oesophagus by a revascularized isolated jejunal segment.Annals of Surgery. 1959; 149: 162
Article info
Publication history
Accepted:
April 6,
1987
Received:
September 17,
1986
Identification
Copyright
© 1987 The Trustees of British Association of Plastic Surgeons. All rights reserved. Published by Elsevier Inc.
