CPT® Code 43360

Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty

The CPT® Code 43360 refers to a surgical procedure known as gastrointestinal reconstruction, specifically performed following a previous esophagectomy. This procedure is indicated for patients who have obstructing esophageal lesions, fistulas, or have undergone esophageal exclusion. The primary goal of this reconstruction is to create a new passage for food from the stomach to the remaining esophagus or pharynx, effectively replacing the esophagus that has been removed or rendered non-functional. The procedure involves meticulous surgical techniques to ensure that the newly formed gastric tube has an adequate blood supply and is properly connected to the digestive tract. The reconstruction utilizes a segment of the stomach, which is fashioned into a tube that can serve as a substitute for the esophagus, allowing for the continuation of normal digestive processes. This complex operation may also include pyloroplasty, which is performed to alleviate any strictures in the duodenum, thereby facilitating better passage of food through the gastrointestinal tract.