Folded intraluminal drain tube stent in esophageal reconstruction with free jejunal flaps

Christopher Salgado, Hung Chi Chen, Ying Han Tsai, Samir Mardini, Mei Yee Leung, Joseph G. Hadeed, Yeuh Bih Tang

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Conclusions. We believe that this method of nasogastric (NG) tube stenting has the potential to improve the overall result of esophageal reconstruction using free jejunal autografts. Objectives. Microvascular transfer of bowel segments for esophageal reconstruction is indicated in the treatment of esophageal defects. Of the late complications resulting from esophageal reconstruction with jejunal flaps, the most common are stricture and fistula. NG tubes are placed at the time of bowel transfer and inset for gastric decompression and intraluminal stenting. We developed and evaluated a method to decrease these associated risks from NG tube stenting, while at the same time maximizing its use as a neo-esophageal stent in an attempt to prevent stricture formation. Patients and methods. Forty-two patients were evaluated from1999 to 2004 who underwent cervical esophageal reconstruction following esophagectomy with a free jejunal autograft. An NG tube was folded proximally and secured to itself so that the doubled portion of the tube encompassed the reconstructed segment to decrease nasal airway morbidity and increase luminal dilatation and stenting. Timing of tube removal and complications were recorded. Results. The length of follow-up was 24 months. The NG tube was removed in all cases at 2 weeks postoperatively following a normal esophagogram. There were no cases of esophageal perforation or dislodgement. Two patients (4.7%) developed an esophagocutaneous fistula and two patients (4.7%) developed a stricture requiring surgical correction. There were no incidences of sinusitis, alar necrosis, bleeding or mucosal ulceration.

Original languageEnglish
Pages (from-to)92-95
Number of pages4
JournalActa Oto-Laryngologica
Volume129
Issue number1
DOIs
StatePublished - Jan 6 2009
Externally publishedYes

Fingerprint

Free Tissue Flaps
Stents
Pathologic Constriction
Autografts
Fistula
Esophageal Perforation
Esophagectomy
Sinusitis
Decompression
Nose
Dilatation
Stomach
Necrosis
Hemorrhage
Morbidity
Incidence
Therapeutics

Keywords

  • Esophagectomy
  • Esophagus
  • Free jejunum
  • Intraluminal stent
  • Nasogastric tube

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Salgado, C., Chen, H. C., Tsai, Y. H., Mardini, S., Leung, M. Y., Hadeed, J. G., & Tang, Y. B. (2009). Folded intraluminal drain tube stent in esophageal reconstruction with free jejunal flaps. Acta Oto-Laryngologica, 129(1), 92-95. https://doi.org/10.1080/00016480802020467

Folded intraluminal drain tube stent in esophageal reconstruction with free jejunal flaps. / Salgado, Christopher; Chen, Hung Chi; Tsai, Ying Han; Mardini, Samir; Leung, Mei Yee; Hadeed, Joseph G.; Tang, Yeuh Bih.

In: Acta Oto-Laryngologica, Vol. 129, No. 1, 06.01.2009, p. 92-95.

Research output: Contribution to journalArticle

Salgado, C, Chen, HC, Tsai, YH, Mardini, S, Leung, MY, Hadeed, JG & Tang, YB 2009, 'Folded intraluminal drain tube stent in esophageal reconstruction with free jejunal flaps', Acta Oto-Laryngologica, vol. 129, no. 1, pp. 92-95. https://doi.org/10.1080/00016480802020467
Salgado, Christopher ; Chen, Hung Chi ; Tsai, Ying Han ; Mardini, Samir ; Leung, Mei Yee ; Hadeed, Joseph G. ; Tang, Yeuh Bih. / Folded intraluminal drain tube stent in esophageal reconstruction with free jejunal flaps. In: Acta Oto-Laryngologica. 2009 ; Vol. 129, No. 1. pp. 92-95.
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