title: In-continuity fundic bypass for palliation in unresectable carcinoma of the oesophagus: a previously unreported procedure.
abstract: Surgical bypass for the palliation of dysphagia in patients with unresectable oesophageal carcinoma continues to be an option in developing countries, as the cost of a good quality endo-prosthesis is well beyond the means of most patients. One such case is presented in which an in-continuity fundic bypass (without resection of the lesser curvature and cardia, thereby not disconnecting the oesophago-gastric junction) was made with gratifying results with regard to quality of life. Awareness of this previously unreported procedure is important because it adds to the armamentarium of surgeons wanting to provide palliation for dysphagia and aspiration in patients with unresectable carcinoma of the oesophagus.
authors.affiliation: Department of Surgery, Government Medical College, Jabalpur, India. dhanshar@gwr1.dot.net.in
authors.forename: D
authors.initials: D
authors.lastname: Sharma
authors.forename: J
authors.initials: J
authors.lastname: De Silva
authors.forename: A
authors.initials: A
authors.lastname: Saxena
authors.forename: S
authors.initials: S
authors.lastname: Agrawal
authors.forename: V K
authors.initials: VK
authors.lastname: Raina
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000601:surgery*; D003680:Deglutition Disorders / Q000209:etiology / Q000601:surgery*; D013505:Digestive System Surgical Procedures; D004938:Esophageal Neoplasms / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010166:Palliative Care; D011788:Quality of Life