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February 1972

Cervical Esophageal Replacement: Use of Nonrevascularized Jejunum and Irradiated Horse Vein

Author Affiliations

USAF; Salt Lake City
From the Division of Otolaryngology, Department of Surgery, University of Utah College of Medicine, Salt Lake City. Dr. Stoner is currently at USAF Hospital, Elmendorf, Alaska.

Arch Otolaryngol. 1972;95(2):141-145. doi:10.1001/archotol.1972.00770080229010

Mongrel dogs were randomly divided into 2 groups. In the first group, cervical esophageal reconstruction was accomplished utilizing nonrevascularized jejunal autograft. In the second group, irradiated horse vein was used as a heterograft. In both groups, the grafts became necrotic and acted as a stroma for the ingrowth of a dense vascular scar, which became lined by a stratified squamous mucosa. Strictures were the only uniform complication. They were soft and easy to dilate. Long-term survivors did well on a soft diet and infrequent dilations.

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