Arch Craniofac Surg.
2019 Apr;20(2):134-138. 10.7181/acfs.2018.02376.
Microsurgical options after the failure of left colon interposition graft in esophagogastric reconstruction
- Affiliations
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- 1Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. nicekek@korea.com
- KMID: 2447639
- DOI: http://doi.org/10.7181/acfs.2018.02376
Abstract
- Colon interposition is commonly used for esophageal reconstruction in patients with a previous gastrectomy. However, when colon interposition fails and alternative reconstruction is required, there are few options for reconstructing the long segment from the esophagus to the stomach. Here, we report on cases of esophagogastric reconstruction with limited alternative options after the failure of transverse and left colon interposition. In these cases, reconstruction was performed using two different microvascular methods: double-pedicle jejunal free flap and supercharged ileocolic interposition graft.
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