✦ LIBER ✦

Composite reconstruction of the esophagus

✍ Scribed by Dr. Kenji Omura; Takuro Misaki; Hiroshi Urayama; Fumio Ishida; Yoh Watanabe

Publisher: John Wiley and Sons
Year: 1993
Tongue: English
Weight: 253 KB
Volume: 52
Category: Article
ISSN: 0022-4790
DOI: 10.1002/jso.2930520106

No coin nor oath required. For personal study only.

✦ Synopsis

Composite reconstruction of the esophagus using both the mobilized stomach and free jejunal graft is described. Tension at the anastomotic site can be minimized with interposition of a jejunal autograft between the pharyngeal stump and the mobilized stomach, even when the mobilized stomach is not long enough. Furthermore, problems derived from differing calibers of the pharyngeal stump and the mobilized stomach can be resolved by creating an end-to-side pharyngojejunal anastomosis. Our method is proposed as one procedure for reconstruction of the esophagus when the pull-up organ is too short.

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