Gastric pull-up operation for restoration of alimentary continuity after resecting hypopharyngeal or oesophageal cancer

ABSTRACT

Gastric pull-up operation was used in 12 patients. They were 6 males 6 females. Most of them were in the 6th decade, with a range of 30-70 years. Six patients had advanced postcricoid carcinoma, involving the cervical oesophagus. Four patients had carcinoma of the middle 1/3 of the oesophagus [2 of which involving the lower 1/3] and 2 cases of carcinoma of the lower 1/3. The operative technique, postoperative follow-up and complications and histopathological examination were studied. The results of this study showed that this technique is satisfactory for immediate and effective restoration of the alimentary tract in cases of postcricoid carcinoma involving the cervical oesophagus, upper and lower oesophageal cancer and carcinoma of the middle 1/3 when it is localized to the oesophagus and assessed to be so at operation by digital evaluation