{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T16:35:14Z","timestamp":1793723714697,"version":"4.6.1"},"reference-count":31,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jprasurg.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Plastic, Reconstructive &amp; Aesthetic Surgery"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.bjps.2026.05.077","type":"journal-article","created":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T08:16:57Z","timestamp":1780474617000},"page":"36-45","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Postoperative monitoring of free jejunal flaps: A composite clinical scoring system based on a 40-year institutional series and systematic review"],"prefix":"10.1016","volume":"119","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-8372-1497","authenticated-orcid":false,"given":"C.","family":"Santoro","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.J.","family":"Jaber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Bortoli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"D\u2019Aietti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.R.","family":"Colonna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Perrot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"U.","family":"Lancien","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.H.","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2749-1909","authenticated-orcid":false,"given":"H.C.","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.bjps.2026.05.077_bib1","doi-asserted-by":"crossref","DOI":"10.1155\/2022\/6132481","article-title":"Hypopharyngeal reconstruction: possibilities, outcomes, and updates for improving the human health for quality of life","volume":"2022","author":"Marzouki","year":"2022","journal-title":"Comput Intell Neurosci"},{"key":"10.1016\/j.bjps.2026.05.077_bib2","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1186\/1477-7819-12-182","article-title":"Pharyngoesophageal reconstruction after resection of hypopharyngeal carcinoma: a new algorithm after analysis of 142 cases","volume":"12","author":"Denewer","year":"2014","journal-title":"World J Surg Oncol"},{"key":"10.1016\/j.bjps.2026.05.077_bib3","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1308\/rcsann.2018.0043","article-title":"Postoperative monitoring of the free jejunal flap: use of colour duplex and systematic review of available techniques","volume":"100","author":"Cuthbert","year":"2018","journal-title":"Ann R Coll Surg Engl"},{"key":"10.1016\/j.bjps.2026.05.077_bib4","unstructured":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews | The BMJ n.d. \u3008https:\/\/www.bmj.com\/content\/372\/bmj.n71\u3009 (accessed February 16, 2026)."},{"key":"10.1016\/j.bjps.2026.05.077_bib5","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1016\/0007-1226(85)90052-9","article-title":"Monitoring free vascularised jejunum grafts","volume":"38","author":"Katsaros","year":"1985","journal-title":"Br J Plast Surg"},{"key":"10.1016\/j.bjps.2026.05.077_bib6","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1002\/lary.22382","article-title":"Monitoring buried jejunum free flaps with a sentinel: a retrospective study of 20 cases","volume":"122","author":"Dionyssopoulos","year":"2012","journal-title":"Laryngoscope"},{"key":"10.1016\/j.bjps.2026.05.077_bib7","first-page":"118","article-title":"Combination of an exteriorized monitoring flap and hand-held Doppler for simple and reliable monitoring of a free jejunal graft transfer in hypopharyngeal reconstruction microsurgery","volume":"2","author":"Higashino","year":"2023","journal-title":"J Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2026.05.077_bib8","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1097\/SAP.0000000000001888","article-title":"Externalized mesentery monitoring of vascularized jejunum transfers","volume":"83","author":"Arata","year":"2019","journal-title":"Ann Plast Surg"},{"key":"10.1016\/j.bjps.2026.05.077_bib9","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1007\/s00238-002-0400-x","article-title":"An easy method for monitoring free jejunal transfer by detecting peristalsis using echography","volume":"25","author":"Yamada","year":"2002","journal-title":"Eur J Plast Surg"},{"key":"10.1016\/j.bjps.2026.05.077_bib10","doi-asserted-by":"crossref","first-page":"3361","DOI":"10.1002\/lary.30793","article-title":"Utility of color Doppler ultrasonography in monitoring of a free jejunal flap","volume":"133","author":"Maeda","year":"2023","journal-title":"Laryngoscope"},{"issue":"4","key":"10.1016\/j.bjps.2026.05.077_bib11","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1016\/j.anl.2025.07.001","article-title":"Early detection and successful management of postoperative external jugular vein thrombosis using color doppler ultrasonography after free jejunal transfer","volume":"52","author":"Ida","year":"2025","journal-title":"Auris Nasus Larynx"},{"key":"10.1016\/j.bjps.2026.05.077_bib12","first-page":"39","article-title":"Use of handheld ultrasound for flap monitoring after free jejunal transfer","volume":"3","author":"Yamada","year":"2024","journal-title":"J Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2026.05.077_bib13","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1097\/00006534-198905000-00024","article-title":"A reliable method for monitoring the microvascular patency of free jejunal transfers in reconstructing the pharynx and cervical esophagus","volume":"83","author":"Bafitis","year":"1989","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2026.05.077_bib14","doi-asserted-by":"crossref","first-page":"1845","DOI":"10.1007\/s00405-011-1851-0","article-title":"A \u201cwatch window\u201d technique for monitoring buried free jejunum flaps during circumferential pharyngolaryngectomy reconstruction","volume":"269","author":"Li","year":"2012","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"10.1016\/j.bjps.2026.05.077_bib15","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1097\/01.prs.0000221113.78244.8c","article-title":"Monitoring buried free flaps: limitations of the implantable Doppler and use of color duplex sonography as a confirmatory test","volume":"118","author":"Rosenberg","year":"2006","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2026.05.077_bib16","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1016\/j.bjps.2020.05.040","article-title":"Near-infrared spectroscopy for monitoring free jejunal flap","volume":"74","author":"Yano","year":"2021","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"10.1016\/j.bjps.2026.05.077_bib17","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1097\/00000637-199003000-00004","article-title":"External monitoring of vascularized jejunum transfers using laser Doppler flowmetry","volume":"24","author":"Hallock","year":"1990","journal-title":"Ann Plast Surg"},{"key":"10.1016\/j.bjps.2026.05.077_bib18","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1055\/s-0028-1082895","article-title":"Free jejunal flaps can be monitored by use of microdialysis","volume":"24","author":"Sorensen","year":"2008","journal-title":"J Reconstr Microsurg"},{"key":"10.1016\/j.bjps.2026.05.077_bib19","doi-asserted-by":"crossref","first-page":"1247","DOI":"10.1097\/01.PRS.0000080727.74314.34","article-title":"Intramucosal PCO2 measurement as a new monitoring method of free jejunal transfer following pharyngo-laryngo-esophagectomy","volume":"112","author":"Imanishi","year":"2003","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2026.05.077_bib20","series-title":"2012 IEEE 12th International Conference on Bioinformatics & Bioengineering (BIBE)","first-page":"315","article-title":"Development of a reflectance photoplethysmographic sensor used for the assessment of perfusion of free jejunum flaps: a case report","author":"Zaman","year":"2012"},{"key":"10.1016\/j.bjps.2026.05.077_bib21","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1186\/1472-6815-6-14","article-title":"Direct microvascular monitoring of a free autologous jejunal flap using microendoscopy: a case report","volume":"6","author":"Upile","year":"2006","journal-title":"BMC Ear Nose Throat Disord"},{"key":"10.1016\/j.bjps.2026.05.077_bib22","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/j.bjps.2019.07.004","article-title":"Morphological analysis of ischemia-reperfusion injury in a cold ischemia model of jejunal free flap for hypopharyngeal reconstruction","volume":"73","author":"Mauramati","year":"2020","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"10.1016\/j.bjps.2026.05.077_bib23","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1097\/01.SLA.0000048445.29961.31","article-title":"Canine ileal motor activity after a model of jejunoileal autotransplantation","volume":"237","author":"Tanaka","year":"2003","journal-title":"Ann Surg"},{"key":"10.1016\/j.bjps.2026.05.077_bib24","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1097\/00000658-198010000-00002","article-title":"Postoperative function of \u201cfree\u201d jejunal transplants for replacement of the cervical esophagus","volume":"192","author":"Meyers","year":"1980","journal-title":"Ann Surg"},{"key":"10.1016\/j.bjps.2026.05.077_bib25","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1007\/s00428-009-0739-5","article-title":"Apoptosis of interstitial cells of Cajal, smooth muscle cells, and enteric neurons induced by intestinal ischemia and reperfusion injury in adult guinea pigs","volume":"454","author":"Mei","year":"2009","journal-title":"Virchows Arch"},{"key":"10.1016\/j.bjps.2026.05.077_bib26","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1055\/s-0030-1263069","article-title":"Postoperative care and monitoring of the reconstructed head and neck patient","volume":"24","author":"Salgado","year":"2010","journal-title":"Semin Plast Surg"},{"key":"10.1016\/j.bjps.2026.05.077_bib27","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1055\/a-2253-8371","article-title":"The ischemic tolerance up to four hours of free jejunum flap: a retrospective cohort study","volume":"40","author":"Kagaya","year":"2024","journal-title":"J Reconstr Microsurg"},{"key":"10.1016\/j.bjps.2026.05.077_bib28","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1097\/00006534-199407000-00019","article-title":"Ischemic tolerance of canine jejunal flaps","volume":"94","author":"Olding","year":"1994","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2026.05.077_bib29","doi-asserted-by":"crossref","first-page":"1282","DOI":"10.1097\/PRS.0000000000004322","article-title":"Forty years of lower extremity take-backs: flap type influences salvage outcomes","volume":"141","author":"Stranix","year":"2018","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2026.05.077_bib30","doi-asserted-by":"crossref","first-page":"e133","DOI":"10.1016\/j.bjps.2012.12.031","article-title":"Non-occlusive mesenteric ischaemia of a free jejunal flap","volume":"66","author":"Onoda","year":"2013","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"10.1016\/j.bjps.2026.05.077_bib31","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1055\/s-0040-1722182","article-title":"Free flap monitoring, salvage, and failure timing: a systematic review","volume":"37","author":"Shen","year":"2021","journal-title":"J Reconstr Microsurg"}],"container-title":["Journal of Plastic, Reconstructive &amp; Aesthetic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681526003360?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681526003360?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T16:24:51Z","timestamp":1793723091000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1748681526003360"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":31,"alternative-id":["S1748681526003360"],"URL":"https:\/\/doi.org\/10.1016\/j.bjps.2026.05.077","relation":{},"ISSN":["1748-6815"],"issn-type":[{"value":"1748-6815","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Postoperative monitoring of free jejunal flaps: A composite clinical scoring system based on a 40-year institutional series and systematic review","name":"articletitle","label":"Article Title"},{"value":"Journal of Plastic, Reconstructive & Aesthetic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bjps.2026.05.077","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}