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Long segment supercharged pedicled jejunal flap for total esophageal reconstruction

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In patients with extensive neck disease, serum calcitonin levels greater than 500 pg/mL, signs of distant metastasis, contrast-enhanced (CE) computed tomography (CT) of the neck and chest, three-phase CE liver protocol CT or CE magnetic resonance imaging (MRI) of the liver, and bone scan and axial MRI are considered [1]

Collagen production is further interrupted by sun exposure, environmental pollutants, alcohol, smoking and the unavoidable stresses we encounter in our daily lives