Free jejunal grafts of the pharynx: surgical methods, complications, and radiographic evaluation

Free jejunal grafts have been used in the surgical treatment of patients with carcinoma of the pharynx and upper esophagus. Post-operative complications, including swallowing difficulty, are frequent and radiographic assessment may be required. In this pictorial paper, we describe the surgical techn...

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Bibliographic Details
Published in:Dysphagia 1999, Vol.14 (3), p.176-182
Main Authors: Smith, D F, Ott, D J, McGuirt, W F, Albertson, D A, Chen, M Y, Gelfand, D W
Format: Article
Language:English
Subjects:
Carcinoma, Squamous Cell - complications
Cineradiography - methods
Deglutition Disorders - diagnostic imaging
Deglutition Disorders - etiology
Dentistry
Humans
Jejunum - transplantation
Pharyngeal Neoplasms - complications
Pharynx - surgery
Postoperative Complications - diagnostic imaging
Surgical Flaps
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Summary:Free jejunal grafts have been used in the surgical treatment of patients with carcinoma of the pharynx and upper esophagus. Post-operative complications, including swallowing difficulty, are frequent and radiographic assessment may be required. In this pictorial paper, we describe the surgical technique of free jejunal grafting of the pharyngoesophagus, and the radiographic appearances and clinical importance of early and delayed complications following the procedure. Dysphagia after placement of a jejunal graft is a common occurrence which is often multifactorial, and may be related to functional, anatomic, or a combination of factors.
ISSN:0179-051X
1432-0460
DOI:10.1007/PL00009602