Faringo-íleo-colo anastomosis con suplemento vascular microquirúrgico en reconstrucción del tracto digestivo superior

Autor: M Italo Braghetto, P Belén Sanhueza, C Rolando González, Manuel Figueroa-Giralt, S Enrique Lanzarini, P Sergio Sepúlveda, Cristian Erazo
Rok vydání: 2018
Předmět:
Zdroj: Revista chilena de cirugía. 70:266-272
ISSN: 0718-4026
DOI: 10.4067/s0718-40262018000300266
Popis: Introduction: Patients submitted to total esophagectomy and gastrectomy with complete closure of pharinx due to necrosis after caustic ingestion are a challenging surgical setting for reconstruction of upper digestive transit. Objective: The objective of this paper is to present a clinical case and surgical technique for reconstruction of the upper digestive tract after total esophagectomy and gastrectomy. Method: Reconstruction of digestive transit was reestablished by means of a pharyngo-ileo-colonic interposition with microsurgical arterial and venous anastomosis for augmentation of blood supply. Results: There were not major postoperative complications and at long term follow-up, normal oral nutrition and quality of life improvement was observed. Conclusion: This is a surgical procedure for treatment of patients with pharyngeal strictures without any possibility to indicate other less complex procedures.
Databáze: OpenAIRE