[Transesophageal gastrostomy]

For gastrostomy after thoracic esophagus extirpation its distal stump was used. It is confirmed, that transesophageal gastrostomy has a number of advantages. Pezzer's catheter can be used as gastrostomic tube which self-fixes in given position and secures reliable gastrostoma sealing. Suturing of the stomach to parietal peritoneum around gastrostoma is not more necessary. Deformation and reduction of the stomach size are excluded and stomach is kept ready for subsequent plastic replacement of the oesophagus. The operation gets oncologically more radical as a result of removal of paraesophageal cellular fat and potentially metastatic lymph nodes during mobilization of the oesophagus and cardia distal stump. The routine technique of transesophageal gastrostomy is described. This technique is applied in 17 patients. Complications were not registered.