[Palliative treatment of nonresectable cardia tumors using esophago-jejunal bypass]

Transdiaphragmal internal bypass with Roux's loop is believed to be the best solution for non-resectable primary or secondary tumorous obstructions in the region of the cardia. Of 26 cases subjected to such an operation, 3 patients died. The indication of bypass operations must not be extended at the cost of palliative (and even less of radical) resections. On the contrary, in the surgery of gastric tumours these operations aim to improve operability. It is believed that internal palliative solutions might finally replace the external ones, since the former intervention offers definite nutritional and moral advantages.