Palliative push-through intubation for malignant obstruction of the gastroesophageal junction.
Methods available for palliative intubation of the gastroesophageal junction for malignant obstruction are discussed. In a previous report from this unit, we noted that the push-through method with a Souttar tube is superior in many respect to the pull-through method with the Mousseau-Barbin tube in cases of esophageal carcinoma. However, a push-through method at the cardia, although highly desirable, had not yet been employed because of safety reasons. This paper describes a technique to overcome the dangers of push-through intubation at the gastroesophageal junction and reports its successful use in 16 patients.
D000368:Aged; D003680:Deglutition Disorders / Q000209:etiology / Q000628:therapy*; D004938:Esophageal Neoplasms / Q000150:complications; D004940:Esophageal Stenosis / Q000628:therapy; D004943:Esophagogastric Junction; D005260:Female; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000295:instrumentation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D013277:Stomach Volvulus / Q000628:therapy