Palliative esophageal intubation for carcinoma. A combined push-pull method

The use of prosthetic tubes for palliation of esophageal carcinoma can be carried out with safety using a combined push-pull method. The advantages of simultaneous endoscopy and laparotomy are illustrated in two cases. For safe durable palliation, emphasis must be placed upon seating the tube under direct vision as well as upon the firm fixation of the tube of the abdominal wall to prevent its subsequent migration.