Long-Segment Supercharged Pedicled Jejunal (SpJ) Interposition for Esophageal Replacement

Carlos A. Puig, MD, Shanda H. Blackmon, MD, MPH

Key Points

  • Preparation for complex esophageal reconstruction includes contrast-enhanced angiographic visualization and care pathways to maximize best outcomes
  • Diversion in preparation for the reconstruction is an important step to ensuring best outcome after the reconstruction; separation of diversion from reconstruction is often best
  • Complex esophageal reconstructions are challenging cases and are associated with high morbidity; preparation and optimization of patients will reduce complications
  • Esophageal reconstructive options can be limited when a gastric conduit is not available
  • The jejunum has comparable luminal size, intrinsic peristaltic activity, relative abundance, and low risk of intrinsic disease making it a good conduit option

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Last updated: October 18, 2023