VIEW THE MOBILE VERSION of www.homemedicine.ca Informational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Symptomatology And Treatment Of Chronic Valvular Lesions

Before discussing the treatment of broken compensation in gen...

Chronic Diarrhea

Take A D current, of very mild force. Place P. P. at the feet...

Gravel

Sometimes mere internal inflammation is mistaken for this dise...

Barley

If this grain is well grown and thoroughly well cooked, it wil...

Liquorice

See Constipation. ...

Vaccination Trouble

When a child is suffering after vaccination, we should have hi...

Lacing Tight

This produces such serious deformity, and in many ways so inte...

Extraction Of Tacks Nails And Large Headed Foreign Bodies From The Tracheobronchial Tree

In cases of this sort the point presents the same difficulty...

Growth Of Body

See Limb, Saving a. ...

Belladonna

The remedy which has attracted and still attracts in a very h...

Boils

The following treatment will be found effective to heal less s...

Muscular Action Weak

The heart is the most important of all muscles. Sometimes the ...

Rest In Sleep

HOW do we misuse our nervous force? First, let us con...

Guaiacum

This drug is a West Indian gum, and is one of those remedies w...

Simple Dilatation

The term "simple dilatation" may be applied to the dilatation...

The Effect Of Drugs On Venous Blood Pressure

Capps and Matthews [Footnote: Capps, J. A., and Matthews, S. ...

Cardiovascular Renal Disease Treatment

While it is urged, in preventing the actual development of th...

Band Flannel

A piece of fine new flannel made to cover the whole back, and ...

Treatment

In this rapid high tension age the physician should be as ene...

Varix And Angioma Of The Esophagus

These lesions are sometimes the cause of esophageal hemorrhag...



Anomalies Of The Esophagus





Category: DISEASES OF THE ESOPHAGUS
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

Congenital esophagotracheal fistulae are the most frequent of the
embryonic developmental errors of this organ. Septic pneumonia from
the entrance of fluids into the lungs usually causes death within a
few weeks.

Imperforate esophagus usually shows an upper esophageal segment
ending in a blind pouch. A lower segment is usually present and may be
connected with the upper segment by a fistula.

Congenital stricture of the esophagus may be single or multiple, and
may be thin and weblike, or it may extend over a third or more of the
length of the esophagus. It may not become manifest until solids are
added to the child's diet; often not for many months. The lodgment of
an unusually large bolus of unmasticated food may set up an
esophagitis the swelling of which may completely close the lumen of
the congenitally narrow esophagus. It is not uncommon to meet with
cases of adults who have never swallowed as well as other people,
and in whom cicatricial and spasmodic stenosis can be excluded by
esophagoscopy, which demonstrates an obvious narrowing of the
esophageal lumen. These cases are doubtless congenital.

Webs in the upper third of the esophagus are best determined by the
passage of a large esophagoscope which puts the esophagus on the
stretch. The webs may be broken by the insertion of a closed alligator
forceps, which is then withdrawn with opened blades. Better still is
the dilator shown in Fig. 26. This retrograde dilatation is relatively
safe. A silk-woven esophagoscopic bougie or the metallic tracheal
bougie may be used, with proper caution. Subsequent dilatation for a
few times will be required to prevent a reproduction of the stenosis.

Treatment of Esophageal Anomalies.--Gastrostomy is required in the
imperforate cases. Esophagoscopic bouginage is very successful in the
cure of all cases of congenital stenosis. Any sort of lumen can be
enlarged so any well masticated food can be swallowed. Careful
esophagoscopic work with the bougies (Fig. 40) will ultimately cure
with little or no risk of mortality. Any form of rapid dilatation is
dangerous. Congenital stenosis, if not an absolute atresia, yields
more readily to esophagoscopic bouginage than cicatricial stenosis.





Next: Rupture And Trauma Of The Esophagus

Previous: Contraindications To Esophagoscopy



Add to del.icio.us Add to Reddit Add to Digg Add to Del.icio.us Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network
Report
Privacy
SHAREADD TO EBOOK


Viewed 1052