|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesStrangulation Or Hanging
Often accidentally caused in children or intoxicated persons. ...
The Plumbing And Sewering Of The Body
The Wastes of the Body. Almost everything that the body does ...
Wide gagging prevents proper exposure of the larynx by forci...
Bite Of The Rattlesnake
is _Alcohol_, in the ordinary form, or in common Whisky, Bran...
Smoking, a Senseless Habit. Smoking is the curious act of dra...
Though often but slight, disappearing in a few minutes by some ...
This is a severe pain in the lower back, shooting sharply down...
Often a state of the nerves exists, without any apparent unhea...
Direction Of The Esophagus
The esophagus enters the chest in a decidedly backward as we...
Aphonia Loss Of Voice
This affection requires treatment variously, as it depends on...
See Indigestion. ...
Treatment Of Scarlatina Anginosa Or Sore-throat Scarlet-fever
In _scarlatina anginosa_, or _sore-throat scarlet-fever_, whi...
Contraindications To Direct Laryngoscopy
There are no absolute contraindications to direct laryngosco...
under a well conducted course of hydriatic treatment is, in g...
This disease generally comes on at night, in hot weather, and...
From The Hygienic Dictionary
Autointoxication.  the accumulations on the bowel wall be...
Is a disease springing from disordered digestion, and caused s...
Active and persistent antiluetic medication must precede and ...
Soaping The Head
See Head, Soaping. ...
In this rapid high tension age the physician should be as ene...
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