Reconstruction of the pharyngoesophageal defect with gastric pull-up, report of two cases

The primary goal of the repair for the pharyngoesophage­al defects is to maintain the continuity after the upper alimentary tract by re-establishing the relation between the oral cavity and the csophagus. We reviewed several techniques of reconstruction for pharyngoesophageal defects and evaluated our experience in two cases in which we performed reconstruction using gastric pull-up. We conclude that, despite poor prognosis of the disease and high rates on the part of gastric pull-up technique, it is a method of choice in cancers of the hypopharynx arýd cervical esophagus owing to oncologic and palliative grounds.

Farengoözofageal Defektin Gastrik Pull-Up Tekniği İle Rekonstrüksiyonu, Ýki Olgu Sunumu

Farengoözofageal defektlerin onarýmýnda primer hedef oral kavite ile özofagus arasýndaki ilişkiyi tekrar kurarak üst sindirim yolunun devamlýlýðýný saðlamaktýr. Kliniği­mizde uygulanan iki gastrik pull-up tekniði ile rekonstrüksiyon olgusu dolayýsýyla çeşitli farengoözofageal defekt rekonstrüksiyon yönteölerini irdeledik. Hastalýğýn kötü progonozuna ve gastrik pull-up tekniðinin yüksek mortalite oranlanma raðmen bu seçeneðin hipofrarenks ve servikal özofagus kanserlerinde onkolojik ve palyatif açýdan tercih gören bir yöntem olduðunu gözlemledik.