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At least 127 records · Page 7Linked to original sources
PubMed1979

Esophagoplasty with an autogenous tubed gastric flap.

As an esophageal substitute, a tubed gastric flap 2.5 cm in inner diameter and 38 cm in length, was constructed from the gastric wall along the greater curvature; a pedicle was attached to the gastric antrum, and its oral stump was brought up into the left supraclavicular fossa through a retrosternal tunnel to perform an esophagogastrostomy. Anastomotic breakdown occurred in only three of fifty cases in which this procedure was used.

Esophageal Neoplasms↗
PubMed1979

Gastric patch esophagoplasty: an experimental study.

To determine whether the use of pedicled full-thickness gastric patches would be feasible and safe in esophageal reconstruction, studies were undertaken in eleven dogs. The results demonstrate that patches containing parietal cell mucosa are likely to produce localized adjacent esophagitis. Patches containing antral mucosa do not produce esophagitis and are not associated with a subsequent increase in circulating serum gastrin levels.

Animals↗
PubMed1981

Antethoracic jejunal esophagoplasty. An alternate method of repair.

Antethoracic jejunal esophageal reconstruction is an effective alternative method of repair and should be considered when difficulty is expected with the standard approaches. The primary difficulty with this mode of repair is related to the vascular supply of the jejunum. However, with careful evaluation and management of the pedicle, ischemia of the graft may be avoided. If vascularity appears less than optimal, the proximal anastomoses should be delayed and the graft placed in the subfascial tunnel. If the cervical jejunal portion becomes necrotic, this space may be bridged later with an isoperistaltically positioned free graft utilizing microvascular techniques.

Aged↗
PubMed2005

Esophageal replacement by Lexer's esophagoplasty: adenocarcinoma as late complication.

The most successful method for esophageal reconstruction in the early 20th century was the jejunodermatoesophagoplasty after Lexer, involving the presternal formation of a skin tube for passage reconstruction. A 59-year-old patient presented to our hospital with adenocarcinoma at the dermatojejunostomy 47 years after undergoing a Lexer procedure. The neoesophagus was removed, and the passage was reconstructed by a retrosternal colonic interposition. Although squamous cell carcinoma is known as a late complication of dermatoesophagoplasties, this is a reported case of adenocarcinoma formation.

Adenocarcinoma↗
PubMed2002

Surgical revision of dysfunctional colonic interposition after esophagoplasty.

The redundancy and dysfunction of colonic interpositions is a recognized late complication of esophageal replacement, often occurring decades after the original surgery. A 34-year-old man, whose long-gap esophageal atresia was corrected as a child with large bowel interposition, presented with severe dysphagia and recurrent aspiration pneumonia. Imaging and endoscopy revealed a grossly abnormal and dysfunctional neo-esophagus. Symptoms were refractory to medical therapies, and necessitated occupational retirement on medical grounds. His case illustrates a successful surgical technique for correcting this complication.

Adolescent↗
PubMed1998

Surgical treatment of the redundant interposed colon after retrosternal esophagoplasty.

Redundancy of the interposed colon used as an esophageal substitute is a common finding in the long-term follow-up of these patients. When symptoms caused by food retention in the colonic loop occur, surgical correction is necessary to improve quality of life and to prevent aspiration. We report a technique to straighten the redundant colon that consists of a side-to-side colocolic anastomosis using a linear stapler. This obviates the need for a redo cologastric anastomosis. Compared with resection of the loop, the operation is quick, safe, and easy to perform, and it may decrease the risk of injury to the marginal vessels of the colon graft.

Adult↗
PubMed1994

Sternocleidomastoid myocutaneous esophagoplasty.

Four cases of short segment non-malignant lesions involving the cervical esophagus, in whom dilatation procedure failed were managed surgically using a sternocleidomastoid myocutaneous flap as a patch to widen the stenotic segment. There were no operative deaths and no leakage of the repair. Barium swallow studies with fluoroscopy and esophagoscopy were used for postoperative follow-up. The follow-up periods ranged from 6 months to 5 years. There has been no restenosis or ulceration of the patch. The follow-up period is certainly too short to allow for any carcinomatous transformation of the skin patch. The simplicity of this method as against other more extensive surgical procedures, such as colon interposition, and also its efficiency should be reason enough for it to be considered as a viable alternative in short segment stenosis of the cervical esophagus, especially in those cases that defy dilatation.

Adult↗
PubMed1987

Patch esophagoplasty with musculocutaneous flaps as treatment of complications after esophageal reconstruction.

A musculocutaneous flap is a simple and effective treatment for the complications which can follow esophageal reconstruction at the cervical portion, such as stricture, fistula, and infection of costal cartilages. After the strictured segment is opened or resected, the resultant esophageal defect can be replaced with the skin patch of a musculocutaneous flap. Then the muscle component of the musculocutaneous flap can be used to form a seal around the previously infected lesion site, an area with the potential for recurrent infection and leakage in subsequent operations. Seven patients were treated this way with satisfactory results.

Adult↗