Medical ArticlesCures As Self-applied
Often young people in lodgings are in difficulty for want of s...
It is not easy to decide just whew all acute endocarditis has...
The Temples Of Esculapius
It has been truly said that temples were the first hospital...
Want Of Water
One of the obstacles is the _want of a sufficient quantity of...
It is a mistake to try to force a foreign body into the stom...
The Speech Organs
The Voice, a Waste Product. It is one of the most curious thi...
If the disease be recent and acute, (but not infectious), as ...
Ordinarily we are not aware of the beating of the heart, enorm...
Cheap, ill-printed literature is responsible for much eye trou...
Punctures Case Xiii
Am old man applied leeches to the instep for inflammation occ...
If pneumonia or gonorrhea is supposed to be the cause of the ...
What Keeps Us Alive
The Energy in Food and Fuel. The first question that arises i...
For an ordinary convulsive attack in the case of a child, hold...
These are often piled on the front of the body, while the far ...
This disease is a most difficult one to deal with, and any hea...
Why People Get Sick
This is the Theory of Toxemia. A healthy body struggles conti...
At Nauheim, under the direction of Dr. Theodore Schott, baths...
Head Sounds In
As the result and accompaniment of deafness these are sometime...
is applied to wounds, _incised_ and _lacerated_, promoting he...
VALENTINE GREATRAKES was born at Affane, County of Waterford,...
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
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