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Free jejunal transfer for the reconstruction of pharyngeal and cervical esophageal defects
L M Deane1, D A Gilbert, G L Schechter
1Department of Plastic Surgery, Eastern Virginia Medical School, Norfolk.
Insights
Free jejunal transfer offers a viable option for pharyngeal and cervical esophagus reconstruction. This study reviews 17 cases, detailing the procedure's rationale, indications, and technical improvements for better outcomes.
Area of Science:
- Surgical reconstruction
- Gastrointestinal surgery
- Otolaryngology
Background:
- Pharyngeal and cervical esophageal defects pose significant reconstruction challenges.
- Traditional methods may have limitations in restoring function and form.
- Free jejunal transfer presents a potential solution for complex defects.
Purpose of the Study:
- To evaluate the efficacy of free jejunal transfer for pharyngeal and cervical esophageal reconstruction.
- To discuss the rationale and indications for this surgical technique.
- To highlight technical considerations and improvements for successful graft outcomes.
Main Methods:
- Review of 17 patients undergoing free jejunal transfer between 1980 and 1984.
- Surgical technique involving free jejunal autograft.
- Analysis of patient selection, surgical procedure, and post-operative outcomes.
Main Results:
- Free jejunal transfer was utilized for reconstruction in 17 patients.
- The study period spanned from 1980 to 1984.
- Technical aspects and improvements were emphasized, suggesting feasibility and utility.
Conclusions:
- Free jejunal transfer is a valuable reconstructive option for pharyngeal and cervical esophageal defects.
- Careful patient selection and technical refinement are crucial for successful outcomes.
- The procedure offers a reliable method for restoring continuity and function in the upper aerodigestive tract.
Abstract:
Free jejunal transfer is a useful alternative for the reconstruction of defects of the pharynx and cervical esophagus. We describe 17 patients who received free jejunal grafts between 1980 and 1984 at the Eastern Virginia Medical School. The rationale and indications for the procedure are discussed. We emphasize certain technical considerations and improvements.