The value of permanent intubation of unresectable malignant strictures of the oesophagus is discussed. The advantages of the Gourevitch tube and the reasons for the authors' preference for this tube are mentioned. Techniques for its insertion are given. Its use in 32 patients, including two with benign strictures, enabled excellent palliation to be obtained. On average patients lived for two and a half months following intubation. The average age of the patients intubated was 70 years. Complications have been few. All patients were swallowing satisfactorily at the time of death. The case histories of four patients in whom intubation was performed are recorded.
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