Worldwide, however, gastric cancer remains the fifth most common cancer and a leading cause of cancer mortality. The incidence of gastric cancer has considerable geographic variability with a significantly higher occurrence in Asia and Latin America than in North America and Europe. The average age of diagnosis in the United States is 69 years of age with the majority of patients diagnosed in the seventh decade of life and later. Men are more likely to have gastric cancer than women, and Hispanic Americans, African Americans, and Asian/Pacific Islanders are more frequently affected than non-Hispanic whites. Individuals with lower socioeconomic status are more likely to be affected in both the United States and in developing countries. Since 1930, the incidence of gastric cancer has decreased significantly, although the reasons for this change are unclear. The incidence of tumors located distally within the stomach have decreased, whereas the incidence of more proximal gastric tumors has increased. Despite the decreasing incidence, gastric cancer remains highly lethal in the United States with an anticipated overall 5-year survival rate of 29%. Most of the time patients present to OPDs with signs of inoperability. Those who planned for surgery landed up in diversion in two third of cases. This study is to specify which diversive procedure will be effective in patients symptom free.