Intrathoracic Gastric and Jejunal Bypass for Palliation of Nonresectable Carcinoma of the Esophagus and Gastroesophageal Junction
The prognosis of esophageal carcinoma remains unfavorable despite all efforts of surgery, radiotherapy, and chemotherapy. It is obvious that among all the surgical procedures only resection of the tumor can significantly prolong the patient’s life and also provide the best palliation. Despite the increasing aggressiveness of most surgeons a significant number of tumors appears nonresectable at surgery due to invasion of the tracheobronchial system, aorta, and vertebral column. In these cases the aim of palliative surgery is to relieve dysphagia, to prevent aspiration, and to keep the patient in reasonably good condition for a possible adjuvant therapy. This aim can be achieved by a surgical bypass procedure.
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