Results of gastric interposition for reconstruction of the pharyngoesophagus

摘要: Background: Free jejunal transfer has become the standard technique for reconstruction of proximal pharynx and hypopharynx. Gastric tube interposition is an effective alternative when resection extends below thoracic inlet. This study was done to determine current indications, review morbidity mortality rates, define clinical pathologic determinants survival associated with this procedure. Methods: We reviewed records 32 patients who underwent gastric pharyngoesophagus from 1987 1997. Results: The overall complication rate 50%. Complications were more frequent in reoperative group (22% vs 66%, P < .05). fistula 31%. 12%. Ultimately, 71% resumed oral feedings. 5-year actuarial 22%. Unfavorable prognostic factors significantly reduced (P .05) included margin positive resection, lymph node involvement, operations recurrent tumor. Conclusions: Reconstruction indicated primary tumors hypopharynx cervical esophagus inferior extension inlet or benign strictures which free not feasible failed. It can be acceptable provides reasonable expectations long-term resumption intake. (Surgery 1999;126:666-72.)