A case of stenosis after esophagogastric anastomosis in a 64-year-old male was repaired using free jejunal grafts revascularized by vascularanastomoses. The patient has previously undergone the curative resection for advanced esophageal carcinoma in September, 1987. Unfortunately, leakage at the esophagogastric anastomotic site resulted in stricture of the cervical anastomosis. He was initially treated by balloon dilation method several times, but he failed to eat satisfactorily.
So, operative method for the lesion was choiced. The cervical skin incision was extended downward and midsternal incision was added, and the right common cervical artery and internal jugular vein were exposed. Then, the stenotic lesion was removed.
A free jejunal segment with mesenteric vessels was removed, then the mesenteric vessels were anastomosed in order of the vein to the artery. On completion of the arterial anastomosis, the graft became pink and displayed peristalsis. Reconstruction of the digestive tract itself was performed in order of esophagojejunal and jejunogastric anastomoses.
Postoperatively, the patient was able to eat a regular diet and was discharged