PHARYNGOESOPHAGEAL BYPASS USING A FREE JEJUNAL GRAFT FOR CORROSIVE STRICTURE - A CASE-REPORT

被引：3

作者：

FUJITA, H

INOUE, Y

KAKEGAWA, T

YAMANA, H

TAI, Y

HIRANO, M

机构：

[1] The First Department of Surgery, Kurume University School of Medicine, Fukuoka, 830, 67 Asahi-machi, Kurume

[2] Department of Plastic and Reconstructive Surgery, Kurume University School of Medicine, Kurume

[3] Department of Otolaryngology, Head and Neck Surgery, Kurume University School of Medicine, Kurume

来源：

JAPANESE JOURNAL OF SURGERY | 1991年 / 21卷 / 06期

关键词：

PHARYNGOESOPHAGEAL CORROSIVE STRICTURE; FREE JEJUNAL GRAFT; MICROVASCULAR SURGERY;

D O I：

10.1007/BF02471055

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The management of corrosive strictures of the esophagus involving the pharynx and/or larynx continues to be a challenge to surgeons. This paper presents a case of a corrosive structure extending from the hypopharynx to the cervical esophagus associated with complete obstruction of the larynx, which was successfully treated by pharyngoesophageal bypass using a free jejunal graft. Postoperative recovery was smooth without any complications, and swallowing was restored. Three months after the bypass operation, the patient underwent laryngoplasty. Although aspiration occurred immediately after the laryngoplasty, six months later she was again able to tolerate the oral intake of semisolid food without any need for supplementary nutritional support Reconstruction of a short segment of the pharyngoesophageal stricture by a free jejunal graft restores almost normal swallowing provided that dilatation of the lower esophagus is achieved.

引用

页码：682 / 686

页数：5

共 19 条

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