[Usefulness of Roux-Y type bypass operation using pedicled jejunum in unresectable esophageal cancer]

Twelve patients underwent bypass operation for unresectable esophageal cancer in our department in recent 5 years were reviewed. A group of 8 patients who had Roux-Y type bypass operation using pedicled jejunum was compared with a group of 4 patients who had bypass operation using gastric roll. 1) The anastomotic leakage was found in one patients in each group of patients. 2) The operating time and amount of bleeding were significantly less in the patients being used the jejunal pedicle than in the patients being used the gastric roll. 3) No significant difference was found in the possibility of oral uptake and discharge from hospital and postoperative survival period between these two groups. The bypass operation for unresectable esophageal cancer is a riskful operation. But, we found that the Roux-Y type bypass operation using the pedicled jejumun was a safe and uninvasive procedure for a patient with high risk.