CPT® Code 43341

The procedure described by CPT® Code 43341 is known as esophagojejunostomy performed via a thoracic approach. This surgical intervention is typically indicated when the stomach has been previously removed, often due to complications from earlier surgeries such as esophagogastrojejunostomy. In cases where the initial procedure has failed, it may become necessary to excise an ischemic segment of the jejunum and re-establish a connection to the esophagus. The thoracic approach, specifically a right posterior thoracotomy, allows for direct access to the distal esophagus and abdominal contents. This method is distinct from the abdominal approach outlined in CPT® Code 43340, which involves an incision in the upper abdomen and exploration of the peritoneal cavity. The thoracic approach is particularly beneficial in cases where access to the esophagus is required without disrupting the pleura, thereby minimizing complications associated with lung injury. The procedure involves careful dissection and manipulation of the jejunum to ensure proper vascular supply is maintained, ultimately facilitating a successful anastomosis between the esophagus and the jejunum.