Jejunal free autograft: analysis of complications and their resolution.

Abstract:

:Review of 101 patients who underwent 111 free jejunal autografts has demonstrated an absolute procedural failure rate of 13.5 percent. Salvage reconstruction with a second jejunum was successful in six of nine patients and one third-time jejunum was successful, giving an overall salvage rate of 70 percent. There were 33 patients experiencing pharyngocutaneous fistulas, 20 of whom had been previously irradiated. Of these patients, 15 experienced spontaneous closure and 9 others had successful surgical correction. The mortality rate was 5 percent. Eighty-three percent of patients were restored to adequate per oral alimentation. The jejunum, despite its relatively high complication rate, is an excellent method for pharyngoesophageal reconstruction, expeditiously providing return to function for patients with late-stage disease.

journal_name

Plast Reconstr Surg

authors

Coleman JJ 3rd,Tan KC,Searles JM,Hester TR,Nahai F

subject

Has Abstract

pub_date

1989-10-01 00:00:00

pages

589-95; discussion 596-8

issue

4

eissn

0032-1052

issn

1529-4242

journal_volume

84

pub_type

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