Korean J Thorac Cardiovasc Surg.  2005 Jun;38(6):445-449.

Jejunal Free Graft for Complicated Corrosive Esophageal Stricture

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. ymshim@smc.samsung.co.kr
  • 2Department of Thoracic and Cardiovascular Surgery, Ajou University Hospital, Korea.

Abstract

The management of failure of colonic graft or corrosive stricture with impaired colonic circulation continues to be a challenge to surgeons. We present four cases of complicated corrosive esophageal stricture, which were successfully treated using jejunal free graft. As the initial surgical treatment, three patients underwent colonic interposition, and one underwent Whipple's procedure due to panperitonitis. One patient underwent transposition of jejunal free patch graft, two underwent interposition of jejunal free graft, and one underwent esophagojejunocolojejunostomy using jejunal free graft. All patients did not show dysphagia after long term follow-up. Complex esophageal reconstruction with jejunal free graft was performed successfully and long term functional outcome was good.

Keyword

Corrosive esophagitis; Esophageal stenosis; Jejunum; Surgery
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