When isolated and in patients whose general condition permits, they can be managed by a total gastric resection. However, besides seriously compromising the general condition of the patient, they are almost always associated with severe esophageal injuries. We have treated these patients with colonic bypass for the esophagus and anastomosing the distal end of the colon end-to-side to the proximal jejunum, leaving the stomach in situ. The results have been excellent.