J Korean Soc Plast Reconstr Surg.
2006 Mar;33(2):245-248.
Salvage of Esophageal Reconstruction with Colon Free Flap
- Affiliations
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- 1Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea. minnkw@snu.ac. kr
Abstract
- Besides gastric pull-up or colonic interposition, microvascular technique in esophageal reconstruction has been approved reliable methods. When free intestinal transfer is considered, jejunal free flap is commonly used. We treated the patient who had undergone reconstruction with a right colon interposition and suffered from inability of swallowing because of stricture and necrosis of the interposed flap. Although we have planned jejunal free transfer, we couldn't use jejunum due to adhesion by previous gastrojejunostomy and colon interposition. Salvage procedure with microvascualr free left colon flap was executed successfully. After 9 month follow-up, the patient was able to consume a normal diet.
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