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Reconstruction using a free jejunal graft for surgery of the hypopharynx and the cervical esophagus in patients with a history of previous upper gastro-intestinal surgery

Kamei, S.; Takeichi, Y.; Oyama, S.; Baba, S.

Acta Oto-Laryngologica. Supplementum 525: 35-39

1996

ISSN/ISBN: 0365-5237
PMID: 8908267
Document Number: 456919
Case 1 had undergone surgery for antrum stenosis 20 years earlier as well as subsequent surgery with reconstruction by Billroth II for carcinoma occurring at the anastmotic site. Case 2 had undergone partial resection of the jejunum for injury of the intestine. Case 3 had undergone reconstruction of the thoracic esophagus using the stomach following excision of carcinoma. For these 3 cases, reconstruction using a free jejunal flap was performed and no disturbance was observed at the donor site. These results strongly suggest that reconstruction using a free jejunal graft be used in patients with a history of previous gastro-intestinal surgeries, with careful observation before and during surgery.

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