First described by Roux in 1907, the jejunum can be utilized in pharynesophageal reconstruction either as a free flap or as a supercharged pedicled flap. The jejunum is the second part of the small bowel, runs for approximately 250 cm, and is supplied by arterial branches off the superior mesenteric artery. Each jejunal artery branch supplies a segment of the jejunum up to 25 cm in length. For a free flap, the second jejunal artery is typically used for microvascular anastomosis. In a supercharged flap, the second jejunal artery is also used for microvascular anastomosis, but the next one to two arteries are divided to give the pedicled flap extra length, and the distal jejunum is left pedicled on a distal jejunal artery. The jejunum is a powerful rescue flap for pharyngoesophageal reconstruction, even after other fasciocutaneous flaps or gastric pull up maneuvers have failed.