Original Articles: PDF OnlyMicrosurgical Reconstruction of the Digestive Tract Following Pharyngolaryngectomy and Total EsophagectomyYamamoto, Yuhei MD, PhD*; Sasaki, Satoru MD*; Furukawa, Hiroshi MD*; Okushiba, Shunichi MD, PhD†; Ohno, Koichi MD†; Sugihara, Tsuneki MD, PhD* Author Information *From the Department of Plastic and Reconstructive Surgery, School of Medicine, Hokkaido University, Sapporo, Japan †From the Second Department of Surgery, School of Medicine, Hokkaido University, Sapporo, Japan Annals of Plastic Surgery: July 1998 - Volume 41 - Issue 1 - p 22-27 Buy Abstract Total pharyngoesophageal reconstruction has remained a challenging field in digestive surgery. During the past 3 years, the authors performed six microsurgical reconstructions of the digestive tract following pharyngolaryngectomy and total esophagectomy due to a multiple cancer or skip metastasis. Digestive continuity was restored using a combination of a pulled-up gastric pedicle and free jejunal transfer in 2 patients, and an elongated gastric pedicle with microvascular augmentation in 4 patients. One elongated gastric pedicle developed partial necrosis, and a free jejunal graft was placed additionally. One patient suffered from respiratory dysfunction and died 1 month after surgery. Postoperative radiographic examination showed a good swallowing mechanism without reflux and stasis in all patients. Microvascular surgery contributes to the successful reconstruction of the digestive tract following extensive pharyngolaryngoesophagectomy. © Williams & Wilkins 1998. All Rights Reserved.