|
KMID : 0364019910240121232
|
|
Korean Journal of Thoracic and Cardiovascular Surgery
1991 Volume.24 No. 12 p.1232 ~ p.1237
|
|
|
Reconstruction of the Cervical Esophagus Using the Free Jejunal Graft
|
|
|
|
|
Abstract
|
|
|
|
The cervical esophageal stricture has various surgical modalities and difficul ties in reconstruction. We had experienced a case of successful reconstruction of the cervical esophageal restenosis using the free jejunal graft, on 30 year old man had had esophageal stricture after ingestion of lye. He had undergone colong interposition(esophagocolongastrostomy) with left colon feeding gastrostomy. But restenosis was occuredJust above of the cervical esophagocolostomy site several tiemes of balloon dialtation were failed. So, we deceided to use of thr free jejunal graft. The free jejunal graft was isolated about 15cm length with it´s vascular archades. The graft was irrigated with the mixed solution as isotonic saline, heparin and papaverine chloride. The artery of graft was anastomosed to the branch of the external carotid artery in end to side with continuous sutures of the 8.0 prolene. The vein of the graft was anastomosed to the branch of the anterior facial vein in end to end with continuous sutures of the 8.0 prolene. Postoperative course was uneventful and the patient was discharded after removal of the tracheostomy cannula and gastrostomy tube.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|