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If the disease be general in the system, moving from place to...
Acute Dilatation Of The Heart In Acute Disease
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As in cholera morbus, keep the patient on his back, still as ...
Skin eruptions, known under this name, have very various cause...
The Frightening Heart
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Unsuccessful Bronchoscopy For Foreign Bodies
The limitations of bronchoscopic removal of foreign bodies ar...
Acute Mild Endocarditis
This inflammation of the endocardium is generally confined to...
Esophagoscopic Extraction Of Foreign Bodies
It is unwise to do an endoscopy in a foreign-body case for th...
In some cases the bran in whole wheaten bread and Saltcoats bi...
This trouble is often only aggravated and made chronic by the ...
See Boil. ...
Site Of Lodgment
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Ulcers Case Xxxi
Mr. S. aged 30, had a sore two inches in length in the groin,...
Pulmonary Stenosis Pulmonary Obstruction
If stenosis is actually present in this location, the lesion ...
Cases Beyond The Remedy Of Fasting
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Endocarditis A Secondary Affection
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General Principles Of Position
As will be seen in Fig. 47 the trachea and esophagus are not...
The Wet Compress
In bed, a wet compress is put on the throat, and another on t...
Persons suffering from nervous prostration have probably allow...
Disorders Of Muscles And Bones
The Muscles and Bones Have Few Diseases. Considering how comp...
Compression Stenosis Of The Esophagus
Category: DISEASES OF THE ESOPHAGUS
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
The esophagus may be narrowed by the pressure of any periesophageal
disease or anomaly. The lesions most frequently found are:
1. Goiter, cervical or thoracic.
2. Malignancy of any of the intrathoracic viscera.
4. Cardiac and aortic enlargement.
5. Lymphadenopathies. Hodgkins' disease.
Simple infective adenitis.
7. Enlargement of the left hepatic lobe.
Endoscopically, compression stenosis of the esophagus is manifested by
a slit-like crevice which occupies the place of the lumen and which
does not open up readily before the advancing tube. The long axis of
the slit is almost always at right angles to the compressive mass, if
the esophageal wall be uninvolved. The covering mucosa may be normal
or it may show signs of chronic inflammation. Malignant compressions
are characterized by their hardness when palpated with the tube.
Associated pressure on the recurrent laryngeal nerve often makes
laryngeal paralysis coexistent. The nature of the compressive mass
will require for its determination the aid of the roentgenologist,
internist, and clinical laboratory. Compression by the enlarged left
auricle has been observed a number of times. The presence of aneurysm
is a distinct contraindication to esophagoscopy for diagnosis except
in case of suspected foreign body.
Treatment of compressive stenosis of the esophagus depends upon the
nature of the compressive lesion and is without the realm of
endoscopy. In uncertain cases potassium iodid, and especially mercury,
should always be given a thorough and prolonged trial; an occasional
cure will result. Esophageal intubation is indicated in all conditions
except aneurysm. Gastrostomy should be done early when necessary.
Next: Diffuse Dilatation Of The Esophagus
Previous: Chronic Esophagitis