Modifications and Complex Esophageal Reconstructions

Esophageal reconstructions with the use of pedicled intestinal segments are difficult procedures and require perfect mastering of the surgical technique. However, despite excellent professional skills of the surgeon, in view of individually differentiated and not always adequate vasculature in the region of the small and large intestine, there may always occur intraoperative difficulties in obtaining long enough and at the same time well supplied with blood graft.