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Roger W. Smith, FRCS; Conall J. Garvey, FRCR; Peter C. A. Taylor, FRCS; David M. Davies, FRCS

Arch Otolaryngol Head Neck Surg. 1987;113(2):187-192.

Abstract
• The reconstruction of the cervical esophagus and the hypopharynx by revascularized bowel grafts has become a well-recognized treatment option and often is the method of first choice. Problems described by several protagonists of the standard revascularized jejunal graft have caused us to hypothesize that the colon provides both a suitable alternative and a solution to these problems. Experimental work in dogs demonstrates clear functional differences between colon and jejunum as free esophageal grafts. Videofluoroscopic and manometric assessment of the two types of graft show that structurally and functionally the colon integrates into the new position in the esophagus better than does the jejunum.

(Arch Otolaryngol Head Neck Surg 1987;113:187-192)

Author Affiliations
From the Department of Plastic and Reconstructive Surgery, Royal Postgraduate Medical School, London (Drs Smith, Taylor, and Davies), and the Department of Radiology, CRC Unit, Northwick Park Hospital, Harrow, England (Dr Garvey). Dr Smith is now with Canniesburn Hospital, Glasgow, Scotland.

Footnotes
Accepted for publication July 14, 1986.

Reprint requests to West of Scotland Regional Plastics and Oral Surgery Unit, Canniesburn Hospital, Glasgow, Scotland G61 1QL (Dr Smith).

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