Introduction: Combined pancreaticoduodenectomy and esophagectomy poses a challenge for reconstruction.
Case Report: We report a case of a combined pancreaticoduodenectomy and esophagectomy for synchronous pancreatic and esophageal cancer, with reconstruction using a supercharged jejunal interposition.
Discussion: The supercharged jejunal anastomosis is a versatile option for foregut reconstruction.
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http://dx.doi.org/10.1007/s11605-011-1551-5 | DOI Listing |
Int J Surg Case Rep
March 2024
Department of Gastrointestinal Surgery, Hokkaido Cancer Center, 3-54 Kikusui, Shiroishi-ku, Sapporo, 003-0804, Japan.
Introduction: Ileocolic interposition is often used for the reconstruction of patients with esophageal cancer with a history of gastrectomy. However, graft failure due to conduit necrosis has been reported in 0-5 % of patients. Salvage reconstruction surgery for this situation is considered challenging, and only a few cases of successful salvage operations following failure of ileocolic interposition have been reported.
View Article and Find Full Text PDFJ Pediatr Surg
June 2024
Department of Surgery, Boston Children's Hospital, Boston, MA, USA. Electronic address:
Otolaryngol Clin North Am
August 2023
The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030, USA. Electronic address:
Pharyngoesophageal reconstruction is one of the most challenging reconstructive dilemmas that demands extensive planning, meticulous surgical execution, and timely management of postoperative complications. The main goals of reconstruction are to protect critical blood vessels of the neck, to provide alimentary continuity, and to restore functions such as speech and swallowing. With the evolution of techniques, fasciocutaneous flaps have become the gold standard for most defects in this region.
View Article and Find Full Text PDFInt J Surg Case Rep
May 2023
Servicio de Cirugía de Tórax, Hospital San Juan de Dios, Caja Costarricense de Seguro Social, Costa Rica.
Caustic or corrosive substance ingestion that results in severe esophageal and gastric lacerations frequently requires surgical management. The most common sequelae after an upper gastrointestinal tract caustic injury include non-responding luminal strictures, which are subject to esophageal replacement. Late corrective surgery may include esophagectomy with gastric pull-up and jejunal or colonic interpositions.
View Article and Find Full Text PDFThorac Surg Clin
November 2022
Department of Surgery, Division of Thoracic Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address:
Complex esophageal reconstruction represents a high risk and challenging procedure. A dedicated pathway with multispecialty teams can facilitate a systematic checklist approach to perioperative management and evaluation of long-term outcomes. Refinements in the operative technique for supercharged pedicled jejunum (SPJ) for long segment interposition in esophageal reconstruction are reviewed in this article.
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