Postoperative function of "free" jejunal transplants for replacement of the cervical esophagus.

Published

Journal Article

The postoperative function of "free" jejunal autotransplants for replacement of the pharyngoesophagus after palliative resection was evaluated in nine patients using clinical assessment, cinefluoroscopy, manometry, and electrical studies. After an initial period of adjustment, all patients swallowed solids and liquids with minimal difficulty, gained weight appropriately and were satisfied with their operations. Cinefluoroscopy and esophageal manometry demonstrated normal function of the intact distal esophagus, which correlated with the absence of reflux symptoms. The grafts were capable of contraction in response to local distension and maintained an intrinsic myoelectrical activity. These results indicate that jejunal autotransplantation may provide excellent palliation with restoration of a near normal swallowing mechanism for patients with large resectable lesions of the pharyngoesophagus. An additional observation was that the instillation of food directly into the gastric antrum caused a change in the motor activity in the transplantd jejunum, indicating physiological hormonal control of intestinal motility.

Full Text

Duke Authors

Cited Authors

  • Meyers, WC; Seigler, HF; Hanks, JB; Thompson, WM; Postlethwait, R; Jones, RS; Akwari, OK; Cole, TB

Published Date

  • 1980

Published In

Volume / Issue

  • 192 / 4

Start / End Page

  • 439 - 450

PubMed ID

  • 6158920

Pubmed Central ID

  • 6158920

International Standard Serial Number (ISSN)

  • 0003-4932

Digital Object Identifier (DOI)

  • 10.1097/00000658-198010000-00002

Language

  • eng

Conference Location

  • United States