TY - JOUR
T1 - Antethoracic jejunal esophagoplasty. An alternate method of repair
AU - Sasaki, Truman M.
AU - McConnell, Donald B.
AU - Moseley, H. Stephens
AU - Vetto, R. Mark
PY - 1981/5
Y1 - 1981/5
N2 - Antethoracic jejunal esophageal reconstruction is an effective alternative method of repair and should be considered when difficulty is expected with the standard approaches. The primary difficulty with this mode of repair is related to the vascular supply of the jejunum. However, with careful evaluation and management of the pedicle, ischemia of the graft may be avoided. If vascularity appears less than optimal, the proximal anastomoses should be delayed and the graft placed in the subfascial tunnel. If the cervical jejunal portion becomes necrotic, this space may be bridged later with an isoperistaltically positioned free graft utilizing microvascular techniques.
AB - Antethoracic jejunal esophageal reconstruction is an effective alternative method of repair and should be considered when difficulty is expected with the standard approaches. The primary difficulty with this mode of repair is related to the vascular supply of the jejunum. However, with careful evaluation and management of the pedicle, ischemia of the graft may be avoided. If vascularity appears less than optimal, the proximal anastomoses should be delayed and the graft placed in the subfascial tunnel. If the cervical jejunal portion becomes necrotic, this space may be bridged later with an isoperistaltically positioned free graft utilizing microvascular techniques.
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U2 - 10.1016/0002-9610(81)90041-6
DO - 10.1016/0002-9610(81)90041-6
M3 - Article
C2 - 7223942
AN - SCOPUS:0019494151
SN - 0002-9610
VL - 141
SP - 534
EP - 536
JO - The American Journal of Surgery
JF - The American Journal of Surgery
IS - 5
ER -