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  • Title: [Reconstruction of hypopharynx and cervical esophagus using a free jejunal graft].
    Author: Takooda S, Nishijima W, Usui H, Ikeda A, Negishi T, Hentona H, Maeda S, Muraoka H.
    Journal: Nihon Jibiinkoka Gakkai Kaiho; 1991 Jan; 94(1):41-5. PubMed ID: 2019912.
    Abstract:
    Forty-four patients with cancer in the hypopharynx and cervical esophagus underwent pharyngoesophageal reconstruction with a free jejunal graft after total removal of a tumor combined with resection of the circumferential tissues. The graft survival rate was 93.2% (41 of 44). Postoperative complications occurred in 16 patients (36.4%), which included postoperative death in one (2.3%), graft necrosis in 3 (6.8%), fistula formation in 4 (9.1%) and graft stricture in 3 (6.8%). All 3 cases of graft necrosis underwent successfully reimplantation. The mean interval time was 20.9 days until oral intake was possible. Thirty-two of 42 patients (76.2%) were able to take usual food. Esophageal speech was limited in the selected cases by this procedure. A cumulative survival rate of 5 years was 40.6% in this series. This method of reconstruction should be advocated as one of relatively safe and reliable procedures for patients with hypopharyngeal and cervical esophageal cancer.
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