Skip to main content
Journal cover image

Free jejunal interposition graft for reconstruction of the esophagus.

Publication ,  Journal Article
Fisher, SR; Cameron, R; Hoyt, DJ; Cole, TB; Seigler, HF; Meyers, WC
Published in: Head Neck
1990

Forty-seven patients underwent pharyngoesophageal reconstruction using a free jejunal interposition graft (FJIG) at Duke University Medical Center from 1978 through 1987. There were 30 men and 17 women with ages ranging from 38 to 87 years old (mean age, 64 years). Twenty-one patients (group A) had no prior surgical procedures, 20 (group B) were reconstructed following radiation and/or surgical failure, with 6 patients (group C) having benign strictures of the upper alimentary tract. Follow-up ranged up to 122 months (mean, 23 months), with 3 patients lost to follow-up, and 4 perioperative deaths (within 3 months of surgery). There were a total of 9 initial graft failures, 4 patients undergoing successful re-implantation, resulting in an overall success rate of 89% (42 of 47). Excluding patients with graft failures, perioperative deaths, and patients lost to follow-up, 33 of 36 patients with a viable FJIG were able to maintain adequate swallowing function yielding a physiologic success rate of 86%. All of the 21 patients dying of recurrent disease had excellent palliation with the FJIG. Of the 7 patients who are alive, only 1 has dysphagia secondary to stricture. In conclusion, it is felt that the FJIG is a sophisticated method of reconstructing large surgical defects of the pharyngoesophagus with a high technical and physiologic success rate.

Duke Scholars

Published In

Head Neck

DOI

ISSN

1043-3074

Publication Date

1990

Volume

12

Issue

2

Start / End Page

126 / 130

Location

United States

Related Subject Headings

  • Reoperation
  • Postoperative Complications
  • Pharyngectomy
  • Otorhinolaryngology
  • Middle Aged
  • Male
  • Length of Stay
  • Jejunum
  • Humans
  • Head and Neck Neoplasms
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Fisher, S. R., Cameron, R., Hoyt, D. J., Cole, T. B., Seigler, H. F., & Meyers, W. C. (1990). Free jejunal interposition graft for reconstruction of the esophagus. Head Neck, 12(2), 126–130. https://doi.org/10.1002/hed.2880120206
Fisher, S. R., R. Cameron, D. J. Hoyt, T. B. Cole, H. F. Seigler, and W. C. Meyers. “Free jejunal interposition graft for reconstruction of the esophagus.Head Neck 12, no. 2 (1990): 126–30. https://doi.org/10.1002/hed.2880120206.
Fisher SR, Cameron R, Hoyt DJ, Cole TB, Seigler HF, Meyers WC. Free jejunal interposition graft for reconstruction of the esophagus. Head Neck. 1990;12(2):126–30.
Fisher, S. R., et al. “Free jejunal interposition graft for reconstruction of the esophagus.Head Neck, vol. 12, no. 2, 1990, pp. 126–30. Pubmed, doi:10.1002/hed.2880120206.
Fisher SR, Cameron R, Hoyt DJ, Cole TB, Seigler HF, Meyers WC. Free jejunal interposition graft for reconstruction of the esophagus. Head Neck. 1990;12(2):126–130.
Journal cover image

Published In

Head Neck

DOI

ISSN

1043-3074

Publication Date

1990

Volume

12

Issue

2

Start / End Page

126 / 130

Location

United States

Related Subject Headings

  • Reoperation
  • Postoperative Complications
  • Pharyngectomy
  • Otorhinolaryngology
  • Middle Aged
  • Male
  • Length of Stay
  • Jejunum
  • Humans
  • Head and Neck Neoplasms