Palliative Surgical Approaches for Malignant Upper Gastrointestinal Obstruction

Gan To Kagaku Ryoho. 2025 Oct;52(10):716-719.ABSTRACTMalignant obstruction caused by advanced upper gastrointestinal (GI) cancers significantly impairs patients’ quality of life (QOL), often leading to dysphagia, vomiting, and nutritional deterioration. While endoscopic and pharmacologic therapies serve as primary palliative approaches, surgical intervention remains a valuable option, particularly when endoscopic treatments are infeasible or ineffective. This article reviews the current role of palliative surgical treatments for malignant GI obstruction, focusing on esophageal bypass for esophageal cancer, and gastrojejunostomy or palliative gastrectomy for advanced gastric cancer. Esophageal bypass, though less commonly performed today due to the availability of self-expandable metallic stents, remains suitable…
Origen: Palliative Surgical Approaches for Malignant Upper Gastrointestinal Obstruction – PubMed