What Is a Jejunum Tissue Transfer?

What is a jejunum tissue transfer?

Jejunum Tissue TransferA jejunum tissue transfer is gaining popularity due to its effectiveness and reliability.

Swallowing defects due to esophageal cancer can be repaired using jejunum flaps (grafts). A jejunum tissue transfer helps restore swallowing, which can be affected by esophageal cancer.

The small intestine is composed of three segments:

  • Duodenum
  • Jejunum
  • Ileum

The surgeon takes about 10 to 20 cm of the segment of jejunum along with its blood supply to use as jejunum flaps.

Why is a jejunum tissue transfer done?

  • To repair defects of the pharynx after surgical removal of cancer of the pharynx
  • To restore the patient’s ability to swallow

A jejunum tissue transfer is not recommended with:

  • Previous surgery of the jejunum
  • Uncontrolled abdominal swelling due to buildup of fluid
  • Chronic conditions of the jejunum
  • Patients who require the reconstruction of mouth, lips, tongue, nose, and other upper tract organs

How is a jejunum tissue transfer performed?

Before the procedure

  • The patient will be asked to undergo an endoscopy or a CT scan.
  • Bowel preparation will be given the night before the surgery.
  • The patient will receive antibiotics before the surgery.

During the procedure

  • A long segment of the jejunum is removed using laparoscopy.
  • The blood supply is located and harvested.
  • The flaps harvested are placed at the site of the defect and adjusted.
  • The incisions are closed.

After the procedure

  • The patient is monitored overnight in an ICU.
  • The patient is given medication for post-operative pain.
  • Food is given via a feeding tube for a few days.
  • The surgeon might perform a barium imaging test to check internal healing after 10 to 14 days.

What are the risks and complications of a jejunum tissue transfer?

The common risk and complications of a jejunum tissue transfer may include: 

  • Bleeding
  • Blood clot at the jejunum
  • Tenderness in the abdomen
  • Fistula formation
  • Narrowing of the jejunum
  • Infection

A jejunum tissue transfer is gaining popularity due to its effectiveness and reliability. The complication rates have declined with significant advancement in the techniques used in a jejunum tissue transfer.

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