Theile D E, Robinson D W
Princess Alexandra Hospital, Brisbane, Queensland, Australia.
Aust N Z J Surg. 1987 Oct;57(10):749-52. doi: 10.1111/j.1445-2197.1987.tb01255.x.
Free revascularized jejunal grafts have been used in three patients to restore alimentary tract continuity after ischaemic failure of pedicled colonic graft replacements of the oesophagus. In all three patients colon had been placed retrosternally. In one patient immediate replacement of a totally necrotic colon interposition was undertaken. In two patients, late long strictures were replaced by jejunal segments. Access to the retrosternal colon was gained in each case by neck and median sternotomy incisions. Revascularization of the jejunal segments was from the facial artery and external jugular vein in two patients and from the internal mammary vessels in one. Satisfactory swallowing of solids and liquids has been achieved and sustained.
游离空肠移植已应用于3例患者，用于在带蒂结肠移植替代食管缺血性失败后恢复消化道连续性。所有3例患者的结肠均置于胸骨后。1例患者立即进行了完全坏死的结肠间置物置换。2例患者晚期长段狭窄被空肠段替代。每例患者均通过颈部和胸骨正中切口进入胸骨后结肠。2例患者空肠段的血运重建来自面动脉和颈外静脉，1例来自胸廓内血管。患者已实现并维持了对固体和液体的满意吞咽。
