Complications of free jejunal transfer reconstruction for total pharyngolaryngoesophagectomy
Free jejuna transfer has become a first choice for pharyngoesophageal reconstruction. We reviewed 90 consecutive patients who underwent pharyngoesophageal reconstruction with free jejunal transfer following total pharyngolaryngoesophagectomy in the Shizuoka Cancer Center from 2002 to 2008. Postopera...
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| Veröffentlicht in: | Toukeibu Gan 2010/04/25, Vol.36(1), pp.73-76 |
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| container_title | Toukeibu Gan |
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| creator | Akazawa, Satoshi Nakagawa, Masahiro Koizumi, Takuya Kayano, Shuji Nagamatsu, Shogo Onitsuka, Tetsuro Iida, Yoshiyuki Kamijo, Tomoyuki Asano, Rie Nakamura, Satoshi |
| description | Free jejuna transfer has become a first choice for pharyngoesophageal reconstruction. We reviewed 90 consecutive patients who underwent pharyngoesophageal reconstruction with free jejunal transfer following total pharyngolaryngoesophagectomy in the Shizuoka Cancer Center from 2002 to 2008. Postoperative complications occurred in 48 of 90 (53%) patients. Tracheostomal stenosis (21%), stricture (13%) and small bowel obstruction (9%) were the most common complications. The rate of tracheostomal stenosis and stricture did not correlated with the perioperative radiation therapy. Minor jejunum-esopahageal anastmotic leakage occurred in two patients (2%). Graft loss occurred in one patient (1%). Although free jejunal transfer is a reliable procedure for pharyngoesophageal reconstruction, the rate of postoperative late complications is not small. A long-term follow up study must be carried out. |
| doi_str_mv | 10.5981/jjhnc.36.73 |
| format | Article |
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We reviewed 90 consecutive patients who underwent pharyngoesophageal reconstruction with free jejunal transfer following total pharyngolaryngoesophagectomy in the Shizuoka Cancer Center from 2002 to 2008. Postoperative complications occurred in 48 of 90 (53%) patients. Tracheostomal stenosis (21%), stricture (13%) and small bowel obstruction (9%) were the most common complications. The rate of tracheostomal stenosis and stricture did not correlated with the perioperative radiation therapy. Minor jejunum-esopahageal anastmotic leakage occurred in two patients (2%). Graft loss occurred in one patient (1%). Although free jejunal transfer is a reliable procedure for pharyngoesophageal reconstruction, the rate of postoperative late complications is not small. A long-term follow up study must be carried out.</description><identifier>ISSN: 1349-5747</identifier><identifier>EISSN: 1881-8382</identifier><identifier>DOI: 10.5981/jjhnc.36.73</identifier><language>jpn</language><publisher>Japan Society for Head and Neck Cancer</publisher><subject>Complication ; Free jejunal transfer ; Stricture ; Tracheostomal stenosis</subject><ispartof>Toukeibu Gan, 2010/04/25, Vol.36(1), pp.73-76</ispartof><rights>2010 Japan Society for Head and Neck Cancer</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c205t-ecaa7e9ff369987095d644b548d89c0553ba16b4726d8c58f54737605d0e2ae93</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1881,4022,27922,27923,27924</link.rule.ids></links><search><creatorcontrib>Akazawa, Satoshi</creatorcontrib><creatorcontrib>Nakagawa, Masahiro</creatorcontrib><creatorcontrib>Koizumi, Takuya</creatorcontrib><creatorcontrib>Kayano, Shuji</creatorcontrib><creatorcontrib>Nagamatsu, Shogo</creatorcontrib><creatorcontrib>Onitsuka, Tetsuro</creatorcontrib><creatorcontrib>Iida, Yoshiyuki</creatorcontrib><creatorcontrib>Kamijo, Tomoyuki</creatorcontrib><creatorcontrib>Asano, Rie</creatorcontrib><creatorcontrib>Nakamura, Satoshi</creatorcontrib><title>Complications of free jejunal transfer reconstruction for total pharyngolaryngoesophagectomy</title><title>Toukeibu Gan</title><addtitle>Toukeibu Gan</addtitle><description>Free jejuna transfer has become a first choice for pharyngoesophageal reconstruction. We reviewed 90 consecutive patients who underwent pharyngoesophageal reconstruction with free jejunal transfer following total pharyngolaryngoesophagectomy in the Shizuoka Cancer Center from 2002 to 2008. Postoperative complications occurred in 48 of 90 (53%) patients. Tracheostomal stenosis (21%), stricture (13%) and small bowel obstruction (9%) were the most common complications. The rate of tracheostomal stenosis and stricture did not correlated with the perioperative radiation therapy. Minor jejunum-esopahageal anastmotic leakage occurred in two patients (2%). Graft loss occurred in one patient (1%). Although free jejunal transfer is a reliable procedure for pharyngoesophageal reconstruction, the rate of postoperative late complications is not small. A long-term follow up study must be carried out.</description><subject>Complication</subject><subject>Free jejunal transfer</subject><subject>Stricture</subject><subject>Tracheostomal stenosis</subject><issn>1349-5747</issn><issn>1881-8382</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNpFkEFLAzEQhYMoWGpP_oG9y9Zkk2ySm1LUCgUvehNCNjtpd9luSpIe-u9NXamXecO8j2HmIXRP8JIrSR77fjfaJa2Xgl6hGZGSlJLK6jr3lKmSCyZu0SLGrsGYEFkRVs3Q98rvD0NnTer8GAvvChcAih7642iGIgUzRgehCGCzn8LRnsHC-VAknzJx2JlwGrd-mASiz5Mt2OT3pzt048wQYfGnc_T1-vK5Wpebj7f31fOmtBXmqQRrjADlHK2VkgIr3taMNZzJViqLOaeNIXXDRFW30nLpOBNU1Ji3GCoDis7Rw7TXBh9jAKcPodvngzTB-pyN_s1G01oLmumnie5jypdeWBNSZwf4Z8lUBL1YNj-rYaQ_9zByhw</recordid><startdate>2010</startdate><enddate>2010</enddate><creator>Akazawa, Satoshi</creator><creator>Nakagawa, Masahiro</creator><creator>Koizumi, Takuya</creator><creator>Kayano, Shuji</creator><creator>Nagamatsu, Shogo</creator><creator>Onitsuka, Tetsuro</creator><creator>Iida, Yoshiyuki</creator><creator>Kamijo, Tomoyuki</creator><creator>Asano, Rie</creator><creator>Nakamura, Satoshi</creator><general>Japan Society for Head and Neck Cancer</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>2010</creationdate><title>Complications of free jejunal transfer reconstruction for total pharyngolaryngoesophagectomy</title><author>Akazawa, Satoshi ; Nakagawa, Masahiro ; Koizumi, Takuya ; Kayano, Shuji ; Nagamatsu, Shogo ; Onitsuka, Tetsuro ; Iida, Yoshiyuki ; Kamijo, Tomoyuki ; Asano, Rie ; Nakamura, Satoshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c205t-ecaa7e9ff369987095d644b548d89c0553ba16b4726d8c58f54737605d0e2ae93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>jpn</language><creationdate>2010</creationdate><topic>Complication</topic><topic>Free jejunal transfer</topic><topic>Stricture</topic><topic>Tracheostomal stenosis</topic><toplevel>online_resources</toplevel><creatorcontrib>Akazawa, Satoshi</creatorcontrib><creatorcontrib>Nakagawa, Masahiro</creatorcontrib><creatorcontrib>Koizumi, Takuya</creatorcontrib><creatorcontrib>Kayano, Shuji</creatorcontrib><creatorcontrib>Nagamatsu, Shogo</creatorcontrib><creatorcontrib>Onitsuka, Tetsuro</creatorcontrib><creatorcontrib>Iida, Yoshiyuki</creatorcontrib><creatorcontrib>Kamijo, Tomoyuki</creatorcontrib><creatorcontrib>Asano, Rie</creatorcontrib><creatorcontrib>Nakamura, Satoshi</creatorcontrib><collection>CrossRef</collection><jtitle>Toukeibu Gan</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akazawa, Satoshi</au><au>Nakagawa, Masahiro</au><au>Koizumi, Takuya</au><au>Kayano, Shuji</au><au>Nagamatsu, Shogo</au><au>Onitsuka, Tetsuro</au><au>Iida, Yoshiyuki</au><au>Kamijo, Tomoyuki</au><au>Asano, Rie</au><au>Nakamura, Satoshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Complications of free jejunal transfer reconstruction for total pharyngolaryngoesophagectomy</atitle><jtitle>Toukeibu Gan</jtitle><addtitle>Toukeibu Gan</addtitle><date>2010</date><risdate>2010</risdate><volume>36</volume><issue>1</issue><spage>73</spage><epage>76</epage><pages>73-76</pages><issn>1349-5747</issn><eissn>1881-8382</eissn><abstract>Free jejuna transfer has become a first choice for pharyngoesophageal reconstruction. 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| ispartof | Toukeibu Gan, 2010/04/25, Vol.36(1), pp.73-76 |
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| source | J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese |
| subjects | Complication Free jejunal transfer Stricture Tracheostomal stenosis |
| title | Complications of free jejunal transfer reconstruction for total pharyngolaryngoesophagectomy |
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