|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesChildren's Deformed Feet
See Club Foot. ...
The Black Hole of Calcutta is an object lesson of how necessary...
Vitamin Program For The Sick
No matter which way you look at it or how well insured you ma...
The patient is quite helpless, and there is usually a strong s...
This is usually a result of stagnation of food or secretion, ...
Head Skin Of The
The nerves of sensibility are very largely supplied to the ski...
The following treatment will be found effective to heal less s...
Inspection of the hypopharynx and upper esophagus is readily...
In some cases of this trouble the symptoms are very alarming, ...
As mentioned above the anterior commissure laryngoscope and ...
The Blood-mesh Of The Skin
The Blood Vessels under the Skin. Not merely the nails and th...
See Head, Soaping. ...
Like any other muscular tissue, the heart hypertrophies whe...
Foreign Bodies In The Larynx
Laryngeally lodged foreign bodies produce a wheezing respirat...
The frequent prescription in these papers of hot water, to be ...
The most successful procedure in the management of intestinal...
Wounds And Bruises
On this subject, I must necessarily be very brief. When a wou...
Unsuccessful Bronchoscopy For Foreign Bodies
The limitations of bronchoscopic removal of foreign bodies ar...
ONCE a young woman who had very hard work to do day a...
Take A D current, of very mild force. Place P. P. at the feet...
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