ArticleGeneral thoracic and cardiovascular surgery2014
Feasibility of esophageal reconstruction using a pedicled jejunum with intrathoracic esophagojejunostomy in the upper mediastinum for esophageal cancer.
Article in General thoracic and cardiovascular surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Jejunal and colonic reconstruction after esophagectomy in difficult gastric conduit: a multicenter study and meta-analysis.Surgery today · 2026Pooled it
- Comparison of pedicled jejunal versus ileal and colonic reconstruction when gastric tube reconstruction is not feasible during esophagectomy.Surgery today · 2026Article
- Successes and failures of using the intestine as a pedicled oesophageal substitute of corrosive burns.Scientific reports · 2025Article
- Comparison of outcomes of pedicled jejunal and colonic conduit for esophageal reconstruction.BMC surgery · 2020Article
- Alternative conduits for esophageal replacement.Annals of cardiothoracic surgery · 2017Article
- Reconstruction after esophagectomy for esophageal cancer patients with a history of gastrectomy.General thoracic and cardiovascular surgery · 2016Review
- Gastric tube reconstruction prevents postoperative recurrence and metastasis of esophageal cancer.Oncology letters · 2016Article
- European perspective in Thoracic surgery-eso-coloplasty: when and how?Journal of thoracic disease · 2016Review
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveAn alternative conduit is needed when the gastric tube cannot be used as an esophageal substitute for reconstruction after esophagectomy. We adopted pedicle jejunal reconstruction with intrathoracic anastomosis in the upper mediastinum under such circumstances. The aim of this study was to evaluate the feasibility of this technique.
methodsTwo hundred and ten patients with esophageal cancer underwent esophagectomy and reconstruction from 1998 to 2013. Among them, 6 patients underwent colon interposition (colon group) and 13 underwent jejunum reconstruction (jejunum group) including 8 thoracoscopic anastomosis. The operative results of both groups were compared with those of 191 gastric tube reconstructions (stomach group).
resultsThe operative times in the colon and jejunum groups were significantly longer than that in the stomach group (P = 0.001 and P = 0.018, respectively). The colon group showed more operative blood loss and more frequent anastomotic leakage and ischemic stenosis of the conduit than did the stomach group (1605 vs. 530 g, P = 0.007; 50 vs. 12.6 %, P = 0.035; 16.7 vs. 0 %, P = 0.03, respectively). There was no anastomotic leakage, conduit necrosis and mortality in the jejunum group. Ischemic stenosis of the conduit occurred more frequently in jejunum group than in the stomach group (23.1 vs. 0 %, P < 0.001). However, the stenosis could be managed safely with endoscopic treatment. Patient survival in the colon and jejunum groups was consistent with that in the stomach group.
conclusionsPedicle jejunal reconstruction with intrathoracic anastomosis can be performed safely under thoracotomy or thoracoscopic surgery when stomach cannot be used as an esophageal substitute after esophagectomy.
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