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Article
June 1964

Pharyngoesophagoplasty: Interposition of Right ColonSurgical Treatment of Six Cases of Cancer of the Hypopharynx and Upper Part of the Esophagus

Author Affiliations

Fellow in Surgery (Dr. Manning); Section of Surgery (Dr. Beahrs); Section of Plastic Surgery (Dr. Devine), Mayo Clinic and Mayo Foundation.

Arch Surg. 1964;88(6):939-946. doi:10.1001/archsurg.1964.01310240035009
Abstract

Cancer of the cervical part of the esophagus and postcricoid region of the hypopharynx is commonly a silent lesion until it is far advanced with wide local extension and metastasis to regional lymph nodes. Neither radiation therapy nor radical surgery has saved more than a few of these patients from an end which is often painful and miserable, with stench from necrotic tumor, inanition, and hemorrhage from major vessels of the head and neck. This paper reports experience with six patients with cancer of the cervical part of the esophagus and postcricoid region of the hypopharynx who recently were treated by transposition of colon.

Lesions of the pyriform sinus are usually found in men of about 60 years of age who have been heavy drinkers or smokers or both.4 The so-called postcricoid cancer is usually found in women more than 50 years old. Results of a recent and exhaustive

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