Related Experiment Video
Updated: Aug 18, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
[Reconstruction of the esophagus with a jejunal segment--case report]
Aleksandar Kiralj1, Milan Mirković, Zlata Janjić
1Institut za hirurgiju Klinika za maksilofacijalnu hirurgiju, 21000 Novi Sad, Hajduk Veljkova 5-7. kiraly@eunet.yu
Introduction:
Portions of gastrointestinal tract may be used as microvascular transfers for reconstruction of hypopharynx and esophagus. Colon, jejunum and portions of stomach have also been successfully used. Intestinal transfer by revascularization was reported by Seidenberg in 1959, long before the development of other free tissue transfers.
Material And Methods:
When an appropriate piece of jejunum is being selected for transfer, the important considerations are its shape and its vascular supply. Because of multiple curves of jejunum, it is difficult to obtain straight lengths longer than 12-15 cm without separating it from its mesentery at both ends.
Discussion:
Mucous production is very important in the first postoperative days. When edema decreases and patients can swallow fluids well, oral intake can gradually be increased to full fluids and eventual regular diet. It is important to monitor jejunum following its transfer. Anastomosis thrombosis and unrecognized gangrene of jejunum may cause serious neck infections.
Conclusion:
Portions of gastrointestinal tract may be used as microvascular transfers for reconstruction of hypopharynx and esophagus. Intestinal transfer by revascularization was reported by Seidenberg in 1959. It is important to monitor jejunum following its transfer.
Related Concept Videos
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Barrett Esophagus-II: Clinical Manifestations and Management
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure entails...
Esophageal Strictures-I: Introduction
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
Esophageal Achalasia

