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Updated: Oct 4, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Pharyngo-enteral anastomosis for esophageal reconstruction in diffuse corrosive esophageal stricture
1Department of Thoracic and Cardiovascular Surgery, St. Mary's Hospital, Catholic University of Korea, Seoul. jaekpark@cmc.cuk.ac.kr
Background:
Diseases involving the entire esophagus usually require extensive surgical procedures to accomplish functional reconstruction. These procedures are extremely stressful for undernourished patients. We have utilized a simpler procedure for total esophageal reconstruction.
Methods:
This retrospective report reviews the experience in 8 patients who underwent esophageal reconstruction by pharyngo-colo-gastrostomy or jejunostomy without any resection of bony structures.
Results:
There was no operative or hospital death. Complications included anastomotic stenosis, transient leak from the ileal stump, and late enterocutaneous fistula, each in 1 patient. Laryngeal function was maintained without special treatments. After swallowing training for approximately 1 week, oral feeding was resumed. All patients have gained 7 to 21 kg at 35 to 67 months after surgery.
Conclusions:
Our surgical procedure is shown to be safe and effective in undernourished patients with diffuse esophageal stricture.
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