The Management of Complications of the Jejunopharyngeal Anastomosis with Jejuna Graft
- VernacularTitle:空肠移植重建咽食管肠咽吻合口并发症的处理
- Publication Type:Journal Article
- Keywords: Burns; Jejunopharyngostomy
- From:Chinese Journal of Thoracic and Cardiovascular Surgery 1995;0(05):-
- CountryChina
- Language:Chinese
- Abstract: During the past 13 years, 13 patients sufferring from hypopharyngeal and esophageal stenosis caused by chemical burns were admitted to our hospital. They were treated by jejunal graft for reconstruction of the esophagus. Four of 13 cases had postoperative complications from jejunopharyngeal anastomosis. In one patients being complicated with severe jejunopharyngeal anastomotic stenosis, heavy laryngeal injury and repeated aspiration pneumonoa, autolaryngo-tracheojejunal anastomosis was performed as the last resort for reconstruction of the food passage. Six months later, a successful laryngeal reconstruction was done to restore his epeech. The other 3 patients had dysphagia due to je-junopharyngostomy stoma above the level of laryngeal vestibule. Modified jejunopharyngostomy preformed 1- 6 months after the first operation relieved the dysphagia. All of these patients recovered well. These results demonstrate the feasibility of jejunopharyngostomy anastomosis for chemical burn involving the hypopharynx and large part of esophagus.