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J Reconstr Microsurg 2005; 21(1): 5-10
DOI: 10.1055/s-2005-862772
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Double Vascular Pedicled Free Jejunum Transfer for Total Esophageal Reconstruction

Akihiko Takushima1 , Akira Momosawa1 , Hirotaka Asato2 , Emiko Aiba2 , Kiyonori Harii1
  • 1Departments of Plastic and Reconstructive Surgery, School of Medicine, Kyorin University, Tokyo, Japan
  • 2Departments of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan
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Publication History

Publication Date:
26 January 2005 (online)

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ABSTRACT

A double vascular pedicled free jejunum was transferred in two patients with complete esophageal defect. When the stomach and colon, which are usually employed for esophageal reconstruction, cannot be used due to previous operations or for other reasons, the jejunum is the next alternative. However, pedicled jejunal transposition is limited in length and may not reach a suitable level over the lower cervical esophagus, even if the distal portion is supercharged. Under such circumstances, a long jejunal segment with two vascular pedicles can be transferred as a free flap and used to reconstruct the whole esophagus in one stage. The paper describes two cases and discusses the advantages of double vascular pedicled free jejunum transfer.

KEYWORDS

Dual pedicle - free jejunal flap - esophageal reconstruction

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Akihiko TakushimaM.D. 

Department of Plastic and Reconstructive Surgery, School of Medicine, Kyorin University

6-20-2, Shinkawa, Mitaka-shi

Tokyo, 181-8611, Japan

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