Reconstruction using a free jejunal graft for surgery of the hypopharynx and the cervical esophagus in patients with a history of previous upper gastro-intestinal surgery

Case 1 had undergone surgery for antrum stenosis 20 years earlier as well as subsequent surgery with reconstruction by Billroth II for carcinoma occurring at the anastmotic site. Case 2 had undergone partial resection of the jejunum for injury of the intestine. Case 3 had undergone reconstruction of the thoracic esophagus using the stomach following excision of carcinoma. For these 3 cases, reconstruction using a free jejunal flap was performed and no disturbance was observed at the donor site. These results strongly suggest that reconstruction using a free jejunal graft be used in patients with a history of previous gastro-intestinal surgeries, with careful observation before and during surgery.