FLEXING THE NECK RELIEVES TENSION ON CERVICAL ESOPHAGEAL ANASTOMOSIS

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PIRMOUAZEN N.A.D.; SAEIDI F.; SEIRAFI M.; JAVAHERZADEH M.

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Journal Paper

Paper Information

Journal: ARCHIVES OF IRANIAN MEDICINE Year:2006 | Volume:9 | Issue:4 Page(s): 339-343

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Title

FLEXING THE NECK RELIEVES TENSION ON CERVICAL ESOPHAGEAL ANASTOMOSIS

Author(s)

PIRMOUAZEN N.A.D. | SAEIDI F. | SEIRAFI M. | JAVAHERZADEH M. | Issue Writer Certificate

Keywords

ANASTOMOSIS

ESOPHAGUS

NECK POSITION

TISSUE TRANSFER

Abstract

Background: The conventional method of bridging anatomic defects of the upper digestive tract in the neck is by TISSUE TRANSFER—either gastric or colon pull-through, free jejunal graft, or fullthickness skin flaps. An alternative way of closing such defects is to flex the neck. This moves the remnant proximal ESOPHAGUS or pharynx a considerable distance downwards—a standard tensionreleasing maneuver in tracheal resection and reconstruction. Methods: Neck flexion was used in 7 patients grouped into three separate surgical conditions: A) in two patients after esophagectomy, where the pulled-up stomach would not reach the remnant proximal ESOPHAGUS or the pharynx; B) in three patients where the defect after removal of the diseased portion of the cervical ESOPHAGUS measured 4.5, 5.0, and 8.0 cm, respectively; and C) in 2 patients with 4.5- and 1.5-cm long circumferential postoperative esophageal strictures managed by Heineke-Miculicz repair. Results: No postoperative cervical fistulas were seen. One patient, whose 8-cm long cervical esophageal defect had been closed by end-to-end ANASTOMOSIS, developed a stricture. Conclusion: In special situations, flexing the neck allows for safe ANASTOMOSIS or closure of esophageal defects in the neck, obviating the need for TISSUE TRANSFER.

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APA: Copy

PIRMOUAZEN, N.A.D., SAEIDI, F., SEIRAFI, M., & JAVAHERZADEH, M.. (2006). FLEXING THE NECK RELIEVES TENSION ON CERVICAL ESOPHAGEAL ANASTOMOSIS. ARCHIVES OF IRANIAN MEDICINE, 9(4), 339-343. SID. https://sid.ir/paper/280143/en

Vancouver: Copy

PIRMOUAZEN N.A.D., SAEIDI F., SEIRAFI M., JAVAHERZADEH M.. FLEXING THE NECK RELIEVES TENSION ON CERVICAL ESOPHAGEAL ANASTOMOSIS. ARCHIVES OF IRANIAN MEDICINE[Internet]. 2006;9(4):339-343. Available from: https://sid.ir/paper/280143/en

IEEE: Copy

N.A.D. PIRMOUAZEN, F. SAEIDI, M. SEIRAFI, and M. JAVAHERZADEH, “FLEXING THE NECK RELIEVES TENSION ON CERVICAL ESOPHAGEAL ANASTOMOSIS,” ARCHIVES OF IRANIAN MEDICINE, vol. 9, no. 4, pp. 339–343, 2006, [Online]. Available: https://sid.ir/paper/280143/en

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