Inverted, stapled J-pouch free jejunal transfer for reconstruction of the pharynx and esophagus Journal Article
| Authors: | Talbot, S. G.; Cordeiro, P. G. |
| Article Title: | Inverted, stapled J-pouch free jejunal transfer for reconstruction of the pharynx and esophagus |
| Abstract: | Since the advent of the jejunal free flap in the early 1900s, it has become one of the most effective and widely used methods for reconstruction of circumferential defects of the esophagus, often due to malignant disease. However, as esophageal resections extend further cranially, reconstruction becomes more difficult due to the size discrepancy between the proximal jejunum and the pharygostome. Several authors have described techniques to overcome this problem, although there is, as yet, no consensus on the most effective method. Here we present our experience with an inverted, stapled J-pouch free jejunal transfer, analogous to that used in the ileoanal anastomosis after proctocolectomy for the treatment of ulcerative colitis and familial polyposis coli. In the head and neck, the inverted J-pouch provides several advantages when a resection extends into the pharynx: a closer size match to the large pharyngeal defect, a reservoir to aid swallowing, and increased conduit size proximally to aid gravity-dependent swallowing in the presence of uncoordinated peristalsis and tongue resection. This technique has served as a safe, effective, and rapid operation for this complex reconstructive problem. © 2007 Wiley-Liss, Inc. |
| Keywords: | adult; aged; middle aged; reconstructive surgical procedures; case report; larynx carcinoma; squamous cell carcinoma; carcinoma, squamous cell; surgical flaps; head and neck cancer; tumor recurrence; ulcerative colitis; proctocolectomy; speech therapy; glossectomy; reconstruction; mouth carcinoma; esophagus; tonsillar neoplasms; tonsil carcinoma; ileum; jejunum; esophagus reconstruction; anastomosis, surgical; pharynx; swallowing; ileoanal anastomosis; anal canal; nose feeding; familial colon polyposis; colitis, ulcerative; pharynx tumor; jejunal flap; larynx prosthesis; pharynx reconstruction; esophagoplasty; surgical staplers |
| Journal Title: | Journal of Surgical Oncology |
| Volume: | 95 |
| Issue: | 8 |
| ISSN: | 0022-4790 |
| Publisher: | Wiley Blackwell |
| Date Published: | 2007-06-15 |
| Start Page: | 663 |
| End Page: | 669 |
| Language: | English |
| DOI: | 10.1002/jso.20760 |
| PUBMED: | 17458909 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 2" - "Export Date: 17 November 2011" - "CODEN: JSONA" - "Source: Scopus" |
Altmetric
Citation Impact
BMJ Impact Analytics
Related MSK Work