A Reconstruction by Pedunculated Jejunum with Supercharge Method for the Esophageal Carcinoma

Yukoh Kin, Akihiron Yamaguchi, Masatosh Isogai, Akihiro Hori, Shuhei Torii*

Department of Surgery, Ogaki Municipal Hospital
*Department of Plastic Surgery, Nagoya University School of Medicine

A 68-year-old man suffered from the postoperative complication of an esophagectomy to prevent esophageal carcinoma, that revealed necrosis in the reconstructed colon due to blood flow insufficiency. For this case, early resection of the necrotic colon wlas performed and a second reconstruction was made by using the pedunculated jejunum with additional microvascular anastomosis (supercharge method) between the jejunal and internal mammary vessels. The postoperative course was uneventful and a satisfactory outcome was obtained. This supercharge method would be effective for a worrisome case in which the circulation of the distal part of the reconstructed substitute might be poor.

Key words
supercharge, microvascular anastmosis, esophageal reconstruction

Reprint requests
Yukoh Kin Department of Surgery, Ogaki Municipal Hospital
4-86 Minaminokawa-cho, Ogaki, 503 JAPAN

Accepted
November 15, 1995

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