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KMID : 0358820060330020245
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Journal of Korean Society of Plastic and Reconstructive Surgeons
2006 Volume.33 No. 2 p.245 ~ p.248
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Salvage of Esophageal Reconstruction with Colon Free Flap
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Lee Sang-Woo
Minn Kyung-Won
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Abstract
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Besides gastric pull-up or colonic interposition, microvascular technique in esophageal reconstruction has been approved reliable methods. When free intestinal transfer is considered, jejunal free flap is commonly used. We treated the patient who had undergone reconstruction with a right colon interposition and suffered from inability of swallowing because of stricture and necrosis of the interposed flap. Although we have planned jejunal free transfer, we couldn’t use jejunum due to adhesion by previous gastrojejunostomy and colon interposition. Salvage procedure with microvascualr free left colon flap was executed successfully. After 9 month follow-up, the patient was able to consume a normal diet.
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KEYWORD
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Esophageal Reconstruction, Colon free flap
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