Abstract
Introduction: Patients submitted to total esophagectomy and gastrectomy with complete closure of pharinx due to necrosis after caustic ingestion are a challenging surgical setting for reconstruction of upper digestive transit. Objective: The objective of this paper is to present a clinical case and surgical technique for reconstruction of the upper digestive tract after total esophagectomy and gastrectomy. Method: Reconstruction of digestive transit was reestablished by means of a pharyngo-ileo-colonic interposition with microsurgical arterial and venous anastomosis for augmentation of blood supply. Results: There were not major postoperative complications and at long term follow-up, normal oral nutrition and quality of life improvement was observed. Conclusion: This is a surgical procedure for treatment of patients with pharyngeal strictures without any possibility to indicate other less complex procedures.
Highlights
Patients submitted to total esophagectomy and gastrectomy with complete closure of pharinx due to necrosis after caustic ingestion are a challenging surgical setting for reconstruction of upper digestive transit
Objective: The objective of this paper is to present a clinical case and surgical technique for reconstruction of the upper digestive tract after total esophagectomy and gastrectomy
Saeki H, Morita M, Harada N, Egashira A, Oki E, Uchiyama H, et al Esophageal replacement by colon interposition with microvascular surgery for patients with thoracic esophageal cancer: the utility of superdrainage
Summary
Italo Braghetto M.1, Manuel Figueroa-Giralt[1], Belén Sanhueza P.1, Enrique Lanzarini S.1, Sergio Sepúlveda P.1, Cristian Erazo C.1 y Rolando González C.1. Recibido el 4 de agosto de 2017, aceptado para publicación el 9 de noviembre de 2017
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