{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T22:34:19Z","timestamp":1776206059104,"version":"3.50.1"},"reference-count":12,"publisher":"Akademiai Kiado Zrt.","issue":"4","license":[{"start":{"date-parts":[[2021,11,25]],"date-time":"2021-11-25T00:00:00Z","timestamp":1637798400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2021,11,25]]},"abstract":"<jats:p><jats:bold>\u00d6sszefoglal\u00f3.<\/jats:bold>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic> Eset\u00fcnkben nyel\u0151cs\u0151tumor miatt t\u00f6rt\u00e9nt nyel\u0151cs\u0151\n                    reszekci\u00f3 \u00e9s bal colonf\u00e9llel p\u00f3tl\u00e1s egy kor\u00e1bban gyomor reszek\u00e1lt betegen. A\n                    graftelhal\u00e1s miatt a nekrotiz\u00e1lt vastagb\u00e9lszakaszt elt\u00e1vol\u00edtottuk. Az egy \u00e9v\n                    m\u00falva v\u00e9gzett rekonstrukci\u00f3n\u00e1l kombin\u00e1lt v\u00e9rell\u00e1t\u00e1s\u00fa jejunummal val\u00f3 p\u00f3tl\u00e1st\n                    alkalmaztunk. A h\u00e1rom egyenes \u00e1g lek\u00f6t\u00e9se ut\u00e1n a Roux kacs nem volt el\u00e9g hossz\u00fa,\n                    ez\u00e9rt a 2. \u00e9s 3. egyenes \u00e1g k\u00f6z\u00f6tt az \u00e1rk\u00e1dot \u00e1tv\u00e1gva m\u00e1r biztons\u00e1gosan fel\u00e9rt a\n                    nyakra. A 3. \u00e1g \u00e1ltal ell\u00e1tott ter\u00fclet v\u00e9rell\u00e1t\u00e1s\u00e1t a mammaria interna\n                    arteri\u00e1j\u00e1b\u00f3l biztos\u00edtottuk \u00e9s a v\u00e9n\u00e1s elvezet\u00e9st egy vena saphena szegmenttel\n                    biztos\u00edtottuk a vena jugularis externa fel\u00e9. A jejunum graft folytonoss\u00e1ga\n                    megmaradt. A beteg meggy\u00f3gyult.<\/jats:p>\n                <jats:p>Ha a nyel\u0151cs\u0151p\u00f3tl\u00e1sra rutinszer\u0171en haszn\u00e1lt gyomor \u00e9s vastagb\u00e9l anat\u00f3miai okok,\n                    el\u0151z\u0151 m\u0171t\u00e9tek vagy sz\u00f6v\u0151dm\u00e9nyek miatt alkalmatlanok, akkor az egyik utols\u00f3\n                    lehet\u0151s\u00e9g a jejunummal val\u00f3 p\u00f3tl\u00e1s. A jejunum csak szabad \u00e1t\u00fcltet\u00e9ssel vagy a\n                    kering\u00e9s meger\u0151s\u00edt\u00e9s\u00e9vel (supercharging) alkalmas az oesophagectomia ut\u00e1ni\n                    biztons\u00e1gos p\u00f3tl\u00e1sra. A kombin\u00e1lt v\u00e9rell\u00e1t\u00e1s\u00fa jejunum p\u00f3tl\u00e1st hybrid,\n                    supercharged m\u00f3dszernek nevezt\u00fck el.<\/jats:p>\n                <jats:p><jats:bold>Summary.<\/jats:bold>\n                    <jats:italic>Introduction:<\/jats:italic> In this case report an esophageal resection due\n                    to cancer was performed with a primary left colonic replacement, as the stomach\n                    was resected previously. Due to graft necrosis, the necrotized section of the\n                    colon was removed. One year later a long jejunal segment with a combined blood\n                    supply was used for secondary reconstruction. Even after the ligation of three\n                    straight branches, the Roux loop was not long enough to reach up to the neck,\n                    however the division of the arcade between the 2nd and 3rd straight branches\n                    lengthened it satisfyingly. Blood supply to the region of the farthest branch\n                    was provided from the internal mammary artery and venous drainage was provided\n                    by a saphenous vein graft to the external jugular vein. The continuity of the\n                    jejunal graft was preserved. The patient recovered uneventfully.<\/jats:p>\n                <jats:p>If neither the stomach nor the colon routinely used for esophageal replacement\n                    are available due to anatomical reasons, previous surgeries, or complications,\n                    jejunal replacement can be the last resort. Jejunum is only suitable for safe\n                    esophageal replacement by either free transplantation or by supercharging. The\n                    procedure when a combined blood supply is provided for the jejunal replacement\n                    was named the hybrid-supercharged method.<\/jats:p>","DOI":"10.1556\/1046.74.2021.4.1","type":"journal-article","created":{"date-parts":[[2023,1,10]],"date-time":"2023-01-10T09:30:47Z","timestamp":1673343047000},"page":"110-113","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":1,"title":["Nyel\u0151cs\u0151p\u00f3tl\u00e1s hybrid, supercharged jejunummal"],"prefix":"10.1556","volume":"74","author":[{"given":"\u00d6rs P\u00e9ter","family":"Horv\u00e1th","sequence":"first","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem KK Seb\u00e9szeti Klinika, 7624 P\u00e9cs, Ifj\u00fas\u00e1g u. 13."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e1s","family":"Papp","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem KK Seb\u00e9szeti Klinika, 7624 P\u00e9cs, Ifj\u00fas\u00e1g u. 13."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e1s","family":"Vereczkei","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem KK Seb\u00e9szeti Klinika, 7624 P\u00e9cs, Ifj\u00fas\u00e1g u. 13."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"Pavlovics","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem KK Seb\u00e9szeti Klinika, 7624 P\u00e9cs, Ifj\u00fas\u00e1g u. 13."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1 Horvath OP, Abedini N, Papp A, Vereczkei A, Pavlovics G: Free jejunal flap esophagoplasty for ischemic colon conduit replacement. 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