Jejuno-Esophageal Interposition Graft as a Salvage Procedure, Report of Two Cases

Amer Chaikhouni

doi:doi:10.11648/j.ijcts.20160202.11

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Jejuno-Esophageal Interposition Graft as a Salvage Procedure, Report of Two Cases

Amer Chaikhouni

Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 2, Issue 2)

Received: 5 May 2016 Accepted: 25 July 2016 Published: 30 August 2016

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Abstract

Gastric and colon interposition are the commonly used in esophageal operations. In this report, Two jejunal esophageal interposition cases are presented. In the first patient, a free jejunal interposition graft was used to re-establish swallowing route in a patient who suffered severe esophageal and gastric chemical burn, and failure of colon interposition graft. The second patient had a leak of Roux-en-Y jejuno-esophageal anastomosis performed after resection of gastric adenocarcinoma. The patient developed subdiaphragmatic abscesses and empyema. The esophageal-intestinal continuity was re-established with a new Roux-en-Y jejuno-esophageal anastomosis through a right thoracotomy. Jejunal graft should be considered in salvage esophageal substitution.

Published in	International Journal of Cardiovascular and Thoracic Surgery (Volume 2, Issue 2)
DOI	10.11648/j.ijcts.20160202.11
Page(s)	9-11
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Esophageal Interposition Grafts, Jejunal Interposition, Esophageal Leak, Esophageal Replacement, Free Jejunal Graft

References

[1]	Masour KA, Bryan FC and Carlson GW. Bowel interposition for esophageal replacement: Twenty five year experience. Ann Thorac Surg 1997; 64: 752-6
[2]	Gaur P and Blackmon SH. Jejunal graft conduits after esophagectomy J Thorac Dis 2014; 6 (S3): S333-S340
[3]	Ascioti AJ, Hofstetter WL, Miller MJ, Rice DC, Swisher SG, Vaporciyan AA, Roth JA, Putnam JB, Smythe WR, Feig BW, Mansfield PF, Pisters PW, Torres MT and Walsh GH. Long-segment, supercharged, pedicled jejunal flap for total esophageal reconstruction. J Thorac Cardiovasc Surg 2005; 130: 1391-8
[4]	Balckmon SH, Correa AM, Skoracki R, Chevray PM, Mehran RJ, Rice DC, Roth JA, Swisher SG, Vaporciyan AA, Yu P, Walsh GL and Hofsetter WL. Supercharged pedicled jejunal interposition for esophageal replacement: a 10-year experience. Ann Thorac Surg 2012; 94: 1104-11
[5]	Dickinson KJ and Blackmon SH. Management of conduit necrosis following esophagectomy. Thorac Surg Clin 2015; 25: 461-470

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APA Style

Amer Chaikhouni. (2016). Jejuno-Esophageal Interposition Graft as a Salvage Procedure, Report of Two Cases. International Journal of Cardiovascular and Thoracic Surgery, 2(2), 9-11. https://doi.org/10.11648/j.ijcts.20160202.11

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ACS Style

Amer Chaikhouni. Jejuno-Esophageal Interposition Graft as a Salvage Procedure, Report of Two Cases. Int. J. Cardiovasc. Thorac. Surg. 2016, 2(2), 9-11. doi: 10.11648/j.ijcts.20160202.11

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AMA Style

Amer Chaikhouni. Jejuno-Esophageal Interposition Graft as a Salvage Procedure, Report of Two Cases. Int J Cardiovasc Thorac Surg. 2016;2(2):9-11. doi: 10.11648/j.ijcts.20160202.11

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@article{10.11648/j.ijcts.20160202.11,
  author = {Amer Chaikhouni},
  title = {Jejuno-Esophageal Interposition Graft as a Salvage Procedure, Report of Two Cases},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {2},
  number = {2},
  pages = {9-11},
  doi = {10.11648/j.ijcts.20160202.11},
  url = {https://doi.org/10.11648/j.ijcts.20160202.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20160202.11},
  abstract = {Gastric and colon interposition are the commonly used in esophageal operations. In this report, Two jejunal esophageal interposition cases are presented. In the first patient, a free jejunal interposition graft was used to re-establish swallowing route in a patient who suffered severe esophageal and gastric chemical burn, and failure of colon interposition graft. The second patient had a leak of Roux-en-Y jejuno-esophageal anastomosis performed after resection of gastric adenocarcinoma. The patient developed subdiaphragmatic abscesses and empyema. The esophageal-intestinal continuity was re-established with a new Roux-en-Y jejuno-esophageal anastomosis through a right thoracotomy. Jejunal graft should be considered in salvage esophageal substitution.},
 year = {2016}
}

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TY  - JOUR
T1  - Jejuno-Esophageal Interposition Graft as a Salvage Procedure, Report of Two Cases
AU  - Amer Chaikhouni
Y1  - 2016/08/30
PY  - 2016
N1  - https://doi.org/10.11648/j.ijcts.20160202.11
DO  - 10.11648/j.ijcts.20160202.11
T2  - International Journal of Cardiovascular and Thoracic Surgery
JF  - International Journal of Cardiovascular and Thoracic Surgery
JO  - International Journal of Cardiovascular and Thoracic Surgery
SP  - 9
EP  - 11
PB  - Science Publishing Group
SN  - 2575-4882
UR  - https://doi.org/10.11648/j.ijcts.20160202.11
AB  - Gastric and colon interposition are the commonly used in esophageal operations. In this report, Two jejunal esophageal interposition cases are presented. In the first patient, a free jejunal interposition graft was used to re-establish swallowing route in a patient who suffered severe esophageal and gastric chemical burn, and failure of colon interposition graft. The second patient had a leak of Roux-en-Y jejuno-esophageal anastomosis performed after resection of gastric adenocarcinoma. The patient developed subdiaphragmatic abscesses and empyema. The esophageal-intestinal continuity was re-established with a new Roux-en-Y jejuno-esophageal anastomosis through a right thoracotomy. Jejunal graft should be considered in salvage esophageal substitution.
VL  - 2
IS  - 2
ER  -

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Author Information

Amer Chaikhouni

Cardiothoracic Surgery, Medical University of South Carolina, Charleston, USA

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APA Style

Amer Chaikhouni. (2016). Jejuno-Esophageal Interposition Graft as a Salvage Procedure, Report of Two Cases. International Journal of Cardiovascular and Thoracic Surgery, 2(2), 9-11. https://doi.org/10.11648/j.ijcts.20160202.11

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ACS Style

Amer Chaikhouni. Jejuno-Esophageal Interposition Graft as a Salvage Procedure, Report of Two Cases. Int. J. Cardiovasc. Thorac. Surg. 2016, 2(2), 9-11. doi: 10.11648/j.ijcts.20160202.11

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AMA Style

Amer Chaikhouni. Jejuno-Esophageal Interposition Graft as a Salvage Procedure, Report of Two Cases. Int J Cardiovasc Thorac Surg. 2016;2(2):9-11. doi: 10.11648/j.ijcts.20160202.11

Copy | Download

@article{10.11648/j.ijcts.20160202.11,
  author = {Amer Chaikhouni},
  title = {Jejuno-Esophageal Interposition Graft as a Salvage Procedure, Report of Two Cases},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {2},
  number = {2},
  pages = {9-11},
  doi = {10.11648/j.ijcts.20160202.11},
  url = {https://doi.org/10.11648/j.ijcts.20160202.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20160202.11},
  abstract = {Gastric and colon interposition are the commonly used in esophageal operations. In this report, Two jejunal esophageal interposition cases are presented. In the first patient, a free jejunal interposition graft was used to re-establish swallowing route in a patient who suffered severe esophageal and gastric chemical burn, and failure of colon interposition graft. The second patient had a leak of Roux-en-Y jejuno-esophageal anastomosis performed after resection of gastric adenocarcinoma. The patient developed subdiaphragmatic abscesses and empyema. The esophageal-intestinal continuity was re-established with a new Roux-en-Y jejuno-esophageal anastomosis through a right thoracotomy. Jejunal graft should be considered in salvage esophageal substitution.},
 year = {2016}
}

Copy | Download

TY  - JOUR
T1  - Jejuno-Esophageal Interposition Graft as a Salvage Procedure, Report of Two Cases
AU  - Amer Chaikhouni
Y1  - 2016/08/30
PY  - 2016
N1  - https://doi.org/10.11648/j.ijcts.20160202.11
DO  - 10.11648/j.ijcts.20160202.11
T2  - International Journal of Cardiovascular and Thoracic Surgery
JF  - International Journal of Cardiovascular and Thoracic Surgery
JO  - International Journal of Cardiovascular and Thoracic Surgery
SP  - 9
EP  - 11
PB  - Science Publishing Group
SN  - 2575-4882
UR  - https://doi.org/10.11648/j.ijcts.20160202.11
AB  - Gastric and colon interposition are the commonly used in esophageal operations. In this report, Two jejunal esophageal interposition cases are presented. In the first patient, a free jejunal interposition graft was used to re-establish swallowing route in a patient who suffered severe esophageal and gastric chemical burn, and failure of colon interposition graft. The second patient had a leak of Roux-en-Y jejuno-esophageal anastomosis performed after resection of gastric adenocarcinoma. The patient developed subdiaphragmatic abscesses and empyema. The esophageal-intestinal continuity was re-established with a new Roux-en-Y jejuno-esophageal anastomosis through a right thoracotomy. Jejunal graft should be considered in salvage esophageal substitution.
VL  - 2
IS  - 2
ER  -

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