Medical ArticlesIndications For Esophagoscopy In Disease
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Category: DISEASES OF THE ESOPHAGUS
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
This is usually of traumatic or cauterant origin. If severe or
extensive, all the symptoms described under Rupture of the Esophagus
may be present. The endoscopic appearances are unmistakable to anyone
familiar with the appearance of mucosal inflammations. The pale,
bluish pink color of the normal mucosa is replaced by a deep-red
velvety swollen appearance in which individual vessels are invisible.
After exudation of serum into the tissues, the color may be paler and
in some instances a typical edema may be seen. This may diminish the
lumen temporarily. Folds of swollen mucosa crowd into the lumen if the
inflammation is intense. These folds are sometimes demonstrable in the
roentgenogram by the bismuth or barium in the creases between which
the prominence of the folds show as islands as beautifully
demonstrated by David R. Bowen in one of the author's cases. If the
inflammation is due to corrosives, a grayish exudate may be visible
early, sloughs later.
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