scholarly journals Free jejunal flap esophagoplasty for ischemic colon conduit replacement

2019 ◽  
Vol 2 ◽  
pp. 15-15
Author(s):  
Ors Peter Horvath ◽  
Nader Abedini ◽  
Andras Papp ◽  
Andras Vereczkei ◽  
Gabor Pavlovics
Keyword(s):  
Free Jejunal Flap

scholarly journals Survival of a Free Jejunal Flap with Early Venous Obstruction

2021 ◽  
Vol 7 ◽  
pp. 2513826X2110224
Author(s):  
Ryo Yamochi ◽  
Toshiaki Numajiri ◽  
Syoko Tsujiko ◽  
Hiroko Nakamura ◽  
Daiki Morita ◽  
...  
Keyword(s):  
Head And Neck ◽  
Oral Intake ◽  
Superior Thyroid Artery ◽  
Head And Neck Reconstruction ◽  
Venous Obstruction ◽  
Flap Survival ◽  
Flap Transfer ◽  
Neck Reconstruction ◽  
Free Jejunal Flap ◽  
Vascular Status

Free jejunal flap transfer is common in head and neck reconstruction, but necrosis remains a complication. A 77-year-old man underwent total pharyngo-laryngo-esophagectomy, bilateral neck dissection, and free jejunal flap transfer. We anastomosed 3 arteries (facial, transverse cervical, and superior thyroid) and 1 vein (jejunal) because the recipient site’s arterial status was poor. On day 2, ultrasonography and visualization revealed that the anastomosed vein was obstructed in the cranial jejunum but the remainder was viable. The region recovered by day 7 and the patient began oral intake on day 30. Ultrasonography revealed that the anastomosed jejunal vein showed no waveform, the facial and transverse cervical arteries showed arterial waveforms, and the superior thyroid artery showed a retrograde venous waveform. The flap had survived because the blood exited through the superior thyroid artery and vein. Thus, additional vascular and arterial anastomoses are options for free flap survival if the vascular status is poor.

scholarly journals Dysphagia following pharyngo-laryngectomy and free jejunal flap reconstruction with dissection of retropharyngeal lymph node

Toukeibu Gan ◽  
2020 ◽  
Vol 46 (4) ◽  
pp. 347-353
Author(s):  
Hiroki Ohnishi ◽  
Tadashi Yoshii ◽  
Shinji Otozai ◽  
Hironori Cho ◽  
Ryosuke Koike ◽  
...  
Keyword(s):  
Lymph Node ◽  
Flap Reconstruction ◽  
Retropharyngeal Lymph Node ◽  
Free Jejunal Flap

Survival of a Free Jejunal Flap With Venous Occlusion

2010 ◽  
Vol 89 (5) ◽  
pp. 1656-1659 ◽  
Author(s):  
Takashi Hirano ◽  
Keigo Fujita ◽  
Satoru Kodama ◽  
Shinsuke Takeno ◽  
Masashi Suzuki
Keyword(s):  
Venous Occlusion ◽  
Free Jejunal Flap

Donor site morbidity of free jejunal flap reconstruction of the oropharyngeal cavity

1999 ◽  
Vol 22 (8) ◽  
pp. 376-378 ◽  
Author(s):  
J. Zacherl ◽  
K. Wild ◽  
G. V. Nehrer-Tairych ◽  
M. Öckher ◽  
T. Rath ◽  
...  
Keyword(s):  
Donor Site ◽  
Donor Site Morbidity ◽  
Flap Reconstruction ◽  
Oropharyngeal Cavity ◽  
Free Jejunal Flap

Free jejunal flap transfer with multiple vascular pedicles for safe and reliable pharyngoesophageal reconstruction

Head & Neck ◽  
2018 ◽  
Vol 40 (10) ◽  
pp. 2210-2218 ◽  
Author(s):  
Tomoyuki Kurita ◽  
Tateki Kubo ◽  
Hiroki Tashima ◽  
Takashi Fujii
Keyword(s):  
Flap Transfer ◽  
Pharyngoesophageal Reconstruction ◽  
Free Jejunal Flap

Morbidity and Functional Outcomes following Free Jejunal Flap Reconstruction for Head and Neck Cancer

ORL ◽  
2017 ◽  
Vol 79 (4) ◽  
pp. 212-221 ◽  
Author(s):  
Song Ni ◽  
Yiming Zhu ◽  
Dong Qu ◽  
Jian Wang ◽  
Dezhi Li ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Functional Outcomes ◽  
Flap Reconstruction ◽  
Free Jejunal Flap

RA02.07: A TWO-STAGE OPERATION USING A FREE JEJUNAL FLAP FOR GASTRECTOMIZED ESOPHAGEAL CANCER

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 21-22
Author(s):  
Koichi Yagi ◽  
Masato Nishida ◽  
Kotaro Sugawara ◽  
Yasuyuki Seto
Keyword(s):  
Esophageal Cancer ◽  
Conflicts Of Interest ◽  
Operation Time ◽  
Tube Placement ◽  
Cervical Esophageal Cancer ◽  
Two Stage ◽  
Subtotal Esophagectomy ◽  
Second Stage ◽  
Free Jejunal Flap ◽  
Median Operation Time

Abstract Background The stomach is not available as a reconstruction organ in previously and synchronously gastrectomized esophageal cancer patients. In these patients, a pedicled jejunum or colon is mainly used for the reconstruction organ instead of the stomach, however, its reconstruction procedure is different among the institutes. In our department, a two-stage operation using a free jejunal flap (FJF) is performed when the stomach is unavailable. Methods A two-stage operation using a FJF for gastrcectomized esophageal cancer performed between 2010 and 2016 were retrospectively analyzed to evaluate a safety and feasibility of our operation. Results A two-stage operation using a FJF was performed for 30 cases, 19 for previously gastrectomized cases, and 11 for synchronous cases, respectively. Among 30 cases, thoracic and cervical esophageal cancer cases were 25 and 5, respectively. For 25 cases of the thoracic esophageal cancer, a subtotal esophagectomy, making a cervical esophagostomy and a jejunal tube placement was performed at the first stage, a reconstruction through the subcutaneous route using a FJF with vascular anastomoses by plastic surgeons was performed at the second stage. Median operation time of first and 2nd stage was 334 and 503 minutes, respectively. An internal thoracic artery was used for a recipient artery in all cases. In 4 of 5 cases of cervical esophageal cancer, a subtotal esophagectomy, esophago-jejuno anastomosis, making a jejunostoma using a FJF was performed at the first stage, the reconstruction of the anal side of a jejunostoma was performed by using a pedicled intestine at the second stage. Median operation time of first and second stage was 640 and 260 minutes, respectively. Clavien-Dindo grade IIIb or IV postoperative complication was seen in 3 cases (10%) after the first stage, 3 cases (10%) after the second stage. Necrosis of a FJF and anastomotic leakage was seen in 0 (0%) and 5 cases (17%), respectively. Conclusion A two-stage operation using a FJF needs plastic surgeon's cooperation, but is considered to be safe and feasible operation when a stomach is not available. Disclosure All authors have declared no conflicts of interest.

Sign in / Sign up

Export Citation Format

Share Document