Antethoracic jejunal esophagoplasty. An alternate method of repair

Truman M. Sasaki, Donald B. McConnell, H. Stephens Moseley, R. Mark Vetto

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Antethoracic jejunal esophageal reconstruction is an effective alternative method of repair and should be considered when difficulty is expected with the standard approaches. The primary difficulty with this mode of repair is related to the vascular supply of the jejunum. However, with careful evaluation and management of the pedicle, ischemia of the graft may be avoided. If vascularity appears less than optimal, the proximal anastomoses should be delayed and the graft placed in the subfascial tunnel. If the cervical jejunal portion becomes necrotic, this space may be bridged later with an isoperistaltically positioned free graft utilizing microvascular techniques.

Original languageEnglish (US)
Pages (from-to)534-536
Number of pages3
JournalThe American Journal of Surgery
Volume141
Issue number5
DOIs
StatePublished - May 1981

ASJC Scopus subject areas

  • Surgery

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