BYPASS PLASTY OF ESOPHAGUS — EFFECTIVE METHOD OF DYSPHAGIA ELIMINATION IN PATIENTS WITH UNRESECTABLE ESOPHAGEAL AND ESOPHAGOGASTRIC JUNCTION CANCER

Kirkilewsky S.I., Kondratsky Y.N., Pritulyak S.N., Krachmal’ov P.S., Krachmal’ov S.N.

The possibility and expediency of wide application bypass plasty of esophagus in patients with unresectable esophageal and esophagogastric junction cancer were investigated. Operations were performed on 53 patients: 5 patients had the cancer of esophagus, 37 — the cancer of esophagogastric junction, 9 — recurrence of cancer of stomach (after gastrectomy), 1 — the cancer of gastric stump, 1 — retroperitoneal tumor. Bypass intestinoplasty was performed on 48 patients, esophagofundoanastomosis — on 5 patients. The rate of postoperative complications was 5.7%; the postoperative mortality was 3.8%. 4 patients died after 3, 7, 8, 9 and 12 months. 32 patients live from 2 till 12 months (average measures is 4.9 months, median is 5 months). It was concluded than the application of bypass plasty of esophagus in patients with unresectable esophageal and esophagogastric junction cancer may efficiently solve such questions: a recovery of nutritive status, a release from the psychic stress, a making of conditions to chemoradiotherapy.