The Journal of Thoracic and Cardiovascular Surgery, Vol 72, 796-800, Copyright © 1976 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
Palliative push-through intubation for malignant obstruction of the gastroesophageal junction
GJ Kalloor and JL Cllis
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.