Interposition of Retrosternal Pedicled Jejunum After Hypopharyngolaryngo-Esophagogastrectomy.

Maier, Alfred; Lindenmann, Joerg; Hammer, Georg; Swatek, Paul; Fink-Neuboeck, Nicole; Fediuk, Melanie; Thurnher, Dietmar; Smolle-Juettner, Freyja Maria · Ann Thorac Surg · 2019

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Abstract

Reconstruction of the upper gastrointestinal tract presents a surgical challenge after esophagogastrectomy, especially when it includes hypopharyngolaryngectomy. Reconstruction is generally undertaken with interposed colon as a substitute conduit, but it carries several risks. Alternative reconstruction of the foregut with pedicled retrosternal jejunum anastomosed at the level of the base of the tongue is described.

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