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J Reconstr Microsurg 2003; 19(2): 093-098
DOI: 10.1055/s-2003-37813
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1 (212) 584-4662

Second Free Jejunal Transfer in Complicated Pharyngoesophageal Reconstructions

Hiroshi Furukawa1 , Yuhei Yamamoto1 , Satoru Sasaki1 , Mitsuru Sekido1 , Akiteru Takeuchi1 , Tsuneki, Sugihara1 , Satoshi Fukuda2 , Shunnichi Okushiba3
  • 1Department of Plastic and Reconstructive Surgery, Hokkaido University School of Medicine, Sapporo, Japan
  • 2Department of Otolaryngology, Hokkaido University School of Medicine, Sapporo, Japan
  • 3Second Department of Surgery, Hokkaido University School of Medicine, Sapporo, Japan
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Publication Date:
10 March 2003 (online)

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ABSTRACT

The authors report two cases of pharyngoesophageal reconstruction using free jejunum transfer, which required additional microsurgical reconstruction, due to total or partial loss of the free jejunal graft, despite successful microvascular anastomoses. Replacement and additional transfer of the second free jejunum segment were successfully carried out, with minimal risk and low morbidity. The second free jejunal transfer is one of the reliable reconstructive choices in the management of complicated pharyngoesophageal reconstruction with free jejunum.

KEYWORDS

Pharyngoesophageal reconstruction - second salvage surgery - second free jejunal transfer

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