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Revista chilena de cirugía

On-line version ISSN 0718-4026

Abstract

BRAGHETTO M., Italo et al. Pharyngo-ileo-colo-anastomosis with micro-vascular blood supply augmentation for surgical reconstruction of the upper digestive tract. Rev Chil Cir [online]. 2018, vol.70, n.3, pp.266-272. ISSN 0718-4026.  http://dx.doi.org/10.4067/s0718-40262018000300266.

Introduction

Patients submitted to total esophagectomy and gastrectomy with complete closure of pharinx due to necrosis after caustic ingestion are a challenging surgical setting for reconstruction of upper digestive transit.

Objective

The objective of this paper is to present a clinical case and surgical technique for reconstruction of the upper digestive tract after total esophagectomy and gastrectomy.

Method

Reconstruction of digestive transit was reestablished by means of a pharyngo-ileo-colonic interposition with microsurgical arterial and venous anastomosis for augmentation of blood supply.

Results

There were not major postoperative complications and at long term follow-up, normal oral nutrition and quality of life improvement was observed.

Conclusion

This is a surgical procedure for treatment of patients with pharyngeal strictures without any possibility to indicate other less complex procedures.

Keywords : esophagectomy; esophageal replacement; colon interposition; microsurgical anastomosis.

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