RECONSTRUCTION OF HYPOPHARYNX AND CERVICAL ESOPHAGUS USING A FREE JEJUNAL GRAFT
Forty-four patients with cancer in the hypopharynx and cervical esophagus underwent pharyngoesophageal reconstruction with a free jejunal graft after total removal of a tumor combined with resection of the cirumferential tissues. The graft survival rate was 93.2% (41 of 44). Postoperative complicati...
Saved in:
| Published in | Nippon Jibi Inkoka Gakkai Kaiho Vol. 94; no. 1; pp. 41 - 45 |
|---|---|
| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English Japanese |
| Published |
Japan
The Oto-Rhino-Laryngological Society of Japan, Inc
1991
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0030-6622 1883-0854 |
| DOI | 10.3950/jibiinkoka.94.41 |
Cover
| Abstract | Forty-four patients with cancer in the hypopharynx and cervical esophagus underwent pharyngoesophageal reconstruction with a free jejunal graft after total removal of a tumor combined with resection of the cirumferential tissues. The graft survival rate was 93.2% (41 of 44). Postoperative complications occurred in 16 patients (36.4%), which included postoperative death in one (2.3%), graft necrosis in 3 (6.8%), fistula formation in 4 (9.1%) and graft stricture in 3 (6.8%). All 3 cases of graft necrosis underwent successfully reimplantation. The mean interval time was 20.9 days until oral intake was possible. Thirty-two of 42 patients (76.2%) were able to take usual food. Esophageal speech was limited in the selected cases by this procedure. A cumulative survial rate of 5 years was 40.6% in this series. This method of reconstruction should be advocated as one of relatively safe and reliable procedures for patients with hypopharyngeal and cervical esophageal cancer. |
|---|---|
| AbstractList | Forty-four patients with cancer in the hypopharynx and cervical esophagus underwent pharyngoesophageal reconstruction with a free jejunal graft after total removal of a tumor combined with resection of the cirumferential tissues. The graft survival rate was 93.2% (41 of 44). Postoperative complications occurred in 16 patients (36.4%), which included postoperative death in one (2.3%), graft necrosis in 3 (6.8%), fistula formation in 4 (9.1%) and graft stricture in 3 (6.8%). All 3 cases of graft necrosis underwent successfully reimplantation. The mean interval time was 20.9 days until oral intake was possible. Thirty-two of 42 patients (76.2%) were able to take usual food. Esophageal speech was limited in the selected cases by this procedure. A cumulative survial rate of 5 years was 40.6% in this series. This method of reconstruction should be advocated as one of relatively safe and reliable procedures for patients with hypopharyngeal and cervical esophageal cancer. Forty-four patients with cancer in the hypopharynx and cervical esophagus underwent pharyngoesophageal reconstruction with a free jejunal graft after total removal of a tumor combined with resection of the circumferential tissues. The graft survival rate was 93.2% (41 of 44). Postoperative complications occurred in 16 patients (36.4%), which included postoperative death in one (2.3%), graft necrosis in 3 (6.8%), fistula formation in 4 (9.1%) and graft stricture in 3 (6.8%). All 3 cases of graft necrosis underwent successfully reimplantation. The mean interval time was 20.9 days until oral intake was possible. Thirty-two of 42 patients (76.2%) were able to take usual food. Esophageal speech was limited in the selected cases by this procedure. A cumulative survival rate of 5 years was 40.6% in this series. This method of reconstruction should be advocated as one of relatively safe and reliable procedures for patients with hypopharyngeal and cervical esophageal cancer. Forty-four patients with cancer in the hypopharynx and cervical esophagus underwent pharyngoesophageal reconstruction with a free jejunal graft after total removal of a tumor combined with resection of the circumferential tissues. The graft survival rate was 93.2% (41 of 44). Postoperative complications occurred in 16 patients (36.4%), which included postoperative death in one (2.3%), graft necrosis in 3 (6.8%), fistula formation in 4 (9.1%) and graft stricture in 3 (6.8%). All 3 cases of graft necrosis underwent successfully reimplantation. The mean interval time was 20.9 days until oral intake was possible. Thirty-two of 42 patients (76.2%) were able to take usual food. Esophageal speech was limited in the selected cases by this procedure. A cumulative survival rate of 5 years was 40.6% in this series. This method of reconstruction should be advocated as one of relatively safe and reliable procedures for patients with hypopharyngeal and cervical esophageal cancer.Forty-four patients with cancer in the hypopharynx and cervical esophagus underwent pharyngoesophageal reconstruction with a free jejunal graft after total removal of a tumor combined with resection of the circumferential tissues. The graft survival rate was 93.2% (41 of 44). Postoperative complications occurred in 16 patients (36.4%), which included postoperative death in one (2.3%), graft necrosis in 3 (6.8%), fistula formation in 4 (9.1%) and graft stricture in 3 (6.8%). All 3 cases of graft necrosis underwent successfully reimplantation. The mean interval time was 20.9 days until oral intake was possible. Thirty-two of 42 patients (76.2%) were able to take usual food. Esophageal speech was limited in the selected cases by this procedure. A cumulative survival rate of 5 years was 40.6% in this series. This method of reconstruction should be advocated as one of relatively safe and reliable procedures for patients with hypopharyngeal and cervical esophageal cancer. |
| Author | NEGISHI, TATSUROO TAKOODA, SHOJI NISHIJIMA, WATARU HENTONA, HITOSHI USUI, HIROYUKI MURAOK, HIDEKI IKEDA, ATSUKO MAEDA, SOOKEI |
| Author_xml | – sequence: 1 fullname: NEGISHI, TATSUROO organization: Department of Otolaryngology, Saitama Cancer Center – sequence: 1 fullname: HENTONA, HITOSHI organization: Department of Otolaryngology, Tokyo Medical and Dental University – sequence: 1 fullname: MURAOK, HIDEKI organization: Department of Otolaryngology, Tokyo Medical and Dental University – sequence: 1 fullname: NISHIJIMA, WATARU organization: Department of Otolaryngology, Saitama Cancer Center – sequence: 1 fullname: USUI, HIROYUKI organization: Department of Otolaryngology, Saitama Cancer Center – sequence: 1 fullname: TAKOODA, SHOJI organization: Department of Otolaryngology, Saitama Cancer Center – sequence: 1 fullname: MAEDA, SOOKEI organization: Department of Otolaryngology, Tokyo Medical and Dental University – sequence: 1 fullname: IKEDA, ATSUKO organization: Department of Otolaryngology, Saitama Cancer Center |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/2019912$$D View this record in MEDLINE/PubMed |
| BookMark | eNp9kEtP3DAUha2KCqbAng2SV91l8CuOvYzSzAOhBGUmqKwsx_GAIZPQOLPov29GM1DURTf3Svec70j3fAMnbddaAK4wmlIZopsXVznXvnaveirZlOEvYIKFoAESITsBE4QoCjgn5Axceu8qhAgTjIfiFJwShKXEZALyIk3ybLUuymS9zDOYz-Di8T6_X8TFY_YTxtkPmKTFwzKJ72C62t_n5QqWq2U2hzGcFWkKb9PbMhvleRHP1hfg60Y33l4e9zkoZ-k6WQR3-XwfEhgaMRzUtSSccByZkKMqsrra1DUjtBof2xgWoZDVNJKR1AJX3BBiJDGY1CIKqZba0nPw_ZD71ne_dtYPauu8sU2jW9vtvBIopAwJPhqvj8ZdtbW1euvdVve_1bGBUecH3fSd973dKOMGPbiuHXrtGoWR2pet_patJFMMjyD6B3yP_g-yPCAvftBP9gPQ_eBMYz8BWLJoD-HDYPjDY551r2xL_wDcT5gx |
| CitedBy_id | crossref_primary_10_1016_0964_1955_94_90045_0 |
| ContentType | Journal Article |
| Copyright | Oto-Rhino-Laryngological Society of Japan |
| Copyright_xml | – notice: Oto-Rhino-Laryngological Society of Japan |
| DBID | AAYXX CITATION CGR CUY CVF ECM EIF NPM 7X8 |
| DOI | 10.3950/jibiinkoka.94.41 |
| DatabaseName | CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
| DatabaseTitle | CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE MEDLINE - Academic |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1883-0854 |
| EndPage | 45 |
| ExternalDocumentID | 2019912 10_3950_jibiinkoka_94_41 article_jibiinkoka1947_94_1_94_1_41_article_char_en |
| Genre | English Abstract Journal Article |
| GroupedDBID | .GJ ALMA_UNASSIGNED_HOLDINGS F5P JSF KQ8 RJT 2WC AAYXX CITATION CGR CUY CVF ECM EIF NPM OK1 7X8 |
| ID | FETCH-LOGICAL-c3741-dd9262617c560b7eabfdd423b395fc47054d37979a81b6c22c92c12d8753a9ae3 |
| ISSN | 0030-6622 |
| IngestDate | Fri Jul 11 08:18:08 EDT 2025 Wed Feb 19 02:36:00 EST 2025 Tue Jul 01 04:17:13 EDT 2025 Thu Apr 24 23:13:06 EDT 2025 Wed Sep 03 06:24:27 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 1 |
| Language | English Japanese |
| LinkModel | OpenURL |
| MergedId | FETCHMERGED-LOGICAL-c3741-dd9262617c560b7eabfdd423b395fc47054d37979a81b6c22c92c12d8753a9ae3 |
| Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 |
| OpenAccessLink | https://www.jstage.jst.go.jp/article/jibiinkoka1947/94/1/94_1_41/_article/-char/en |
| PMID | 2019912 |
| PQID | 80534086 |
| PQPubID | 23479 |
| PageCount | 5 |
| ParticipantIDs | proquest_miscellaneous_80534086 pubmed_primary_2019912 crossref_citationtrail_10_3950_jibiinkoka_94_41 crossref_primary_10_3950_jibiinkoka_94_41 jstage_primary_article_jibiinkoka1947_94_1_94_1_41_article_char_en |
| ProviderPackageCode | CITATION AAYXX |
| PublicationCentury | 1900 |
| PublicationDate | 1991-00-00 |
| PublicationDateYYYYMMDD | 1991-01-01 |
| PublicationDate_xml | – year: 1991 text: 1991-00-00 |
| PublicationDecade | 1990 |
| PublicationPlace | Japan |
| PublicationPlace_xml | – name: Japan |
| PublicationTitle | Nippon Jibi Inkoka Gakkai Kaiho |
| PublicationTitleAlternate | Nippon Jibiinkoka Gakkai Kaiho |
| PublicationYear | 1991 |
| Publisher | The Oto-Rhino-Laryngological Society of Japan, Inc |
| Publisher_xml | – name: The Oto-Rhino-Laryngological Society of Japan, Inc |
| References | 5) Schusterman MA, Shestak K, deVaries EJ et alReconstruction of the cervical esophagus : free jejunal transfer versus gastric pullup. Plustic andReconstructive Surgery 85: 16-21. 1990. 4) Fisher SR, Cameron R, Hoyt DJ et al : Free jelunalinterposition graft for reconstruction of the esophagus. Head & Neck 12: 126-135, 1990 11) Schechter GL, Baker JW Gilvert DA : Functionalevaluation of pharyngoesophageal reconstructivetechniques. Arch Otolaryngol Head Neck Surg113: 40-44, 1987. 10) de Vries EJ, Stein DW, Jonson JT et al : Hypopharyngeal reconstruction : a complication of two alternatives. Laryngoscope 99: 614-617, 1989 1) 竹生田勝次,西蔦渡,寺邑公子,枝松秀雄,羽石芳子:空腸遊離移植による下咽頭頸部食道再建術-2症例の経験-.日耳鼻86:8-14,1983. 8) Biel MA, Maisel RH : Free jejunalautograft reconstruction of the pharyngoesophagus : review of a 10-year experience. Otolaryngology Head and NeckSurgery 97: 364-375. 1987 6) Fisher SR, Cole TB, Meyers WC et al : Pharyngoesophageal reconstiruction using free jejunalinterposition grafts. Arch Otolaryngol 111: 747-752, 1985. 9) 鎌田信悦,川端一嘉,金子省三,河西信勝,内田正興他:遊離空腸による下咽頭頚部食道再建,23症例の経験-特に前腕皮弁との比較について-.頭頸腫瘍13:103,1986. 7) Cusmano RJ, Silver CE, Brauer RJ et al : Pectoralismyocutaneous flap for replacement of cervicalesophagus. Head & Neck 11: 450-456, 1989 3) Coleman, III JJ, Tan KC, Seales JM et al : Jejunalfree autograftanalysis of complications and theirresolution. Plastic and Reconstructive Surgery7 : 589-595, 1989 2) Gluckman JL, McDonogh JJ, McCafferty GL et al :Complications associated with free jejunal graftreconstruction of the pharyngoesophagus-amultiinstitutional experience with 52 cases. Head & Neck Surgery 7 : 200-205, 1985 |
| References_xml | – reference: 2) Gluckman JL, McDonogh JJ, McCafferty GL et al :Complications associated with free jejunal graftreconstruction of the pharyngoesophagus-amultiinstitutional experience with 52 cases. Head & Neck Surgery 7 : 200-205, 1985 – reference: 3) Coleman, III JJ, Tan KC, Seales JM et al : Jejunalfree autograftanalysis of complications and theirresolution. Plastic and Reconstructive Surgery7 : 589-595, 1989 – reference: 8) Biel MA, Maisel RH : Free jejunalautograft reconstruction of the pharyngoesophagus : review of a 10-year experience. Otolaryngology Head and NeckSurgery 97: 364-375. 1987 – reference: 1) 竹生田勝次,西蔦渡,寺邑公子,枝松秀雄,羽石芳子:空腸遊離移植による下咽頭頸部食道再建術-2症例の経験-.日耳鼻86:8-14,1983. – reference: 9) 鎌田信悦,川端一嘉,金子省三,河西信勝,内田正興他:遊離空腸による下咽頭頚部食道再建,23症例の経験-特に前腕皮弁との比較について-.頭頸腫瘍13:103,1986. – reference: 11) Schechter GL, Baker JW Gilvert DA : Functionalevaluation of pharyngoesophageal reconstructivetechniques. Arch Otolaryngol Head Neck Surg113: 40-44, 1987. – reference: 5) Schusterman MA, Shestak K, deVaries EJ et alReconstruction of the cervical esophagus : free jejunal transfer versus gastric pullup. Plustic andReconstructive Surgery 85: 16-21. 1990. – reference: 4) Fisher SR, Cameron R, Hoyt DJ et al : Free jelunalinterposition graft for reconstruction of the esophagus. Head & Neck 12: 126-135, 1990 – reference: 7) Cusmano RJ, Silver CE, Brauer RJ et al : Pectoralismyocutaneous flap for replacement of cervicalesophagus. Head & Neck 11: 450-456, 1989 – reference: 6) Fisher SR, Cole TB, Meyers WC et al : Pharyngoesophageal reconstiruction using free jejunalinterposition grafts. Arch Otolaryngol 111: 747-752, 1985. – reference: 10) de Vries EJ, Stein DW, Jonson JT et al : Hypopharyngeal reconstruction : a complication of two alternatives. Laryngoscope 99: 614-617, 1989 |
| SSID | ssib002484658 ssj0066768 ssib000940320 ssib007762623 ssib000959836 ssib002252301 ssib001174089 ssib022575415 ssib058493820 ssib005879730 ssib001174090 |
| Score | 1.3088785 |
| Snippet | Forty-four patients with cancer in the hypopharynx and cervical esophagus underwent pharyngoesophageal reconstruction with a free jejunal graft after total... |
| SourceID | proquest pubmed crossref jstage |
| SourceType | Aggregation Database Index Database Enrichment Source Publisher |
| StartPage | 41 |
| SubjectTerms | Adult Aged Aged, 80 and over Esophageal Neoplasms - surgery Esophagoplasty - methods Female Graft Survival Humans Hypopharyngeal Neoplasms - surgery Hypopharynx - surgery Jejunum - transplantation Male Middle Aged |
| Title | RECONSTRUCTION OF HYPOPHARYNX AND CERVICAL ESOPHAGUS USING A FREE JEJUNAL GRAFT |
| URI | https://www.jstage.jst.go.jp/article/jibiinkoka1947/94/1/94_1_41/_article/-char/en https://www.ncbi.nlm.nih.gov/pubmed/2019912 https://www.proquest.com/docview/80534086 |
| Volume | 94 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| ispartofPNX | Nippon Jibiinkoka Gakkai Kaiho, 1991/01/20, Vol.94(1), pp.41-45 |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3db9MwELeqgRAviK-J8ukHXlCVbrHdfDwGGLSN2oitEeMpchynS4uaqlslxhv_OWc7TdOKIYZUWVViX-Lc5fw75z4QekuPeZZSJiyWUmqxHs8tn0jf8rw093ORZkIn0h6NnX7Mhue981brVzO65Crtip9_jCv5H67CMeCripK9BWdronAA_gN_oQUOQ_tPPFa24zYDrMZ918tyecFX14sfJmJNqwJgg1TlCvh0fdlZ690B3slXUnZmcrZWeHS64vnOLv24WC6B5LBIC9Ah83LOO5_5fM6LTsiLi7I2-IMwij4Geg-1H20rLY_VPthwMNJnvgaT4DTenIrP4oFe8Aan0bc4rIcMwhNDKJicxWG03Y5QblNN5UrBEnVMmHFXGn3qedQCVMeaCtdUNd4RLKM9TQqsah02WSb3NTz1e8olcgazL_Tkuz7rbsY1k2nvLXK16yEYPYpGsqWQ-CxRqQ_uENe1lVdo-KVpkQFA2yagVx7BZnGv5mq-fCuKR_v3tIN07s4A7E_lzXaMxjOTh-hBZYjgwEjVI9SSi8fo3qhytXiCol3hwmWOG8KFQbjwRrhwLVxYCxfmWAkXroQLa-F6iuJPJ5MPfauqvmEJCjDTyjKVShIArgBQnLqSp3mWAfhOYbK5YC5g_Yy6vutzsHwcQYjwibBJpgxglfKdHqKDRbmQzxAmTmaT1JNU9DjjzPEcdkyJ75JMlU7jdhsdbZ5UIqrU9KpCyvfkJm610bt6xNKkZflL3_fm4dc9qxe20dP2mat626Zhdt1HBT-CrmmjNxvGJaCA1Vc1vpDl-jLxYBljx57TRoeGn_VlAFvDC0Ke3-JeX6D7xhdR_V6iA2CyfAWo9yp9reXyN4GWr8U |
| linkProvider | Colorado Alliance of Research Libraries |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Reconstruction+of+hypopharynx+and+cervical+esophagus+using+a+free+jejunal+graft&rft.jtitle=Nippon+Jibi+Inkoka+Gakkai+Kaiho&rft.au=TAKOODA%2C+SHOJI&rft.au=NISHIJIMA%2C+WATARU&rft.au=USUI%2C+HIROYUKI&rft.au=IKEDA%2C+ATSUKO&rft.date=1991&rft.issn=0030-6622&rft.eissn=1883-0854&rft.volume=94&rft.issue=1&rft.spage=41&rft.epage=45&rft_id=info:doi/10.3950%2Fjibiinkoka.94.41&rft.externalDBID=n%2Fa&rft.externalDocID=10_3950_jibiinkoka_94_41 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0030-6622&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0030-6622&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0030-6622&client=summon |