Successful Cervical Esophageal Reconstruction Using Gastric Conduit Without Gastroepiploic Artery.

ABSTRACT

The use of the stomach as an esophageal substitute after esophagectomy is the most commonly accepted as the standard. The colon and supercharged pedicled jejunum are acceptable options for esophageal reconstruction when the stomach is unavailable. We describe a case of esophageal cancer with a history of right hemicolectomy scheduled McKeown esophagogastrectomy. During celiac detection, the gastroepiploic artery had been resected, and the jejunum had a relatively short mesentery. In such a situation, we used an unconventional gastric conduit with the right gastric artery as the sole blood supply to complete cervical reconstruction.