Esophagus Reconstruction

  • Ralph T. Manktelow


Portions of the gastrointestinal tract may be used as microvascular transfers for reconstruction of the hypopharynx and esophagus. The colon, jejunum and portions of the stomach have been successfully used. For most reconstructive problems, the jejunum provides the most suitable tissue. Its vascularity is reliable and it can be removed with minimal morbidity. It provides a tubular transfer which is the right size for esophageal reconstruction (Fig. 15-1).


Vascular Pattern Cervical Esophagus Jejunal Mucosa Jejunal Segment Superior Thyroid Artery 
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  1. 1.
    Flynn MB, Acland RD (1979) Free intestinal autografts for reconstruction following pharyngo-laryngo esophagectomy. Surg Gyn Obs 149: 858Google Scholar
  2. 2.
    Germain M, Gremilet C, Patricio J (1979) Replacement of the esophagus by a jejunal loop revascularized by vascular microanastomoses. Intl J Microsurg 1: 60Google Scholar
  3. 3.
    Hester TR, McConnel FMS, Nahai F, Jurkiewicz MJ, Brown RG (1980) Reconstruction of cervical esophagus, hypopharynx and oral cavity using free jejunal transfer. Am J Surg 140: 487PubMedCrossRefGoogle Scholar
  4. 4.
    Hiebert CA, Cummings GO (1961) Successful replacement of cervical esophagus by transplantation and revascularization of a free graft of gastric antrum. Ann Surg 51: 103CrossRefGoogle Scholar
  5. 5.
    Jurkiewicz MJ (1965) Vascularized intestinal graft for reconstruction of the cervical esophagus and pharynx. Plast Reconstr Surg 36: 509PubMedCrossRefGoogle Scholar
  6. 6.
    Nakayama K, Tamai T, Yamamoto K et al. (1962) A simple new apparatus for small vessel anastomoses. Surgery 52: 918PubMedGoogle Scholar
  7. 7.
    Peters CR, McKee DM, Barry BE (1971) Pharyngo-esophageal reconstruction with revascularized jejunal transplants. Ann Surg 121: 675CrossRefGoogle Scholar
  8. 8.
    Roberts RE, Douglas FM (1961) Replacement of the cervical esophagus and hypopharynx by a revascularized free jejunal autograft. N Engl J Med 264: 343CrossRefGoogle Scholar
  9. 9.
    Robinson DW, MacLeod A (1982) Microvascular free jejunum transfer Br J Plast Surg 35: 258PubMedGoogle Scholar
  10. 10.
    Seidenberg B, Rosemak S, Hurwitt ES (1959) Immediate reconstruction of the cervical esophagus by a revascularized isolated jejunal segment. Ann Surg 149: 162PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • Ralph T. Manktelow
    • 1
    • 2
  1. 1.Faculty of MedicineUniversity of TorontoTorontoCanada
  2. 2.Division of Plastic SurgeryToronto General HospitalTorontoCanada

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