Jejuno-Esophageal Interposition Graft as a Salvage Procedure, Report of Two Cases

Gastric and colon interposition are the commonly used in esophageal operations. In this report, Two jejunal esophageal interposition cases are presented. In the first patient, a free jejunal interposition graft was used to re-establish swallowing route in a patient who suffered severe esophageal and gastric chemical burn, and failure of colon interposition graft. The second patient had a leak of Roux-en-Y jejuno-esophageal anastomosis performed after resection of gastric adenocarcinoma. The patient developed subdiaphragmatic abscesses and empyema. The esophageal-intestinal continuity was re-established with a new Roux-en-Y jejuno-esophageal anastomosis through a right thoracotomy. Jejunal graft should be considered in salvage esophageal substitution.