Take B D current, forceful as the patient can bear, and treat...
SELF-CONSCIOUSNESS may be truly defined as a person's...
Lues Of The Esophagus
Esophageal syphilis is a rather rare affection, and may show ...
The only sure sign of the presence of this parasite in the int...
The Surgical Dissection Of The Bend Of The Elbow And The Forearm Showing The Relative Position Of The Arteries Veins And Nerves
The farther the surgical region happens to be removed from th...
Treating With Electrolytic Currents
For decomposing and carrying off unnatural growths, as fistul...
Digestion is the process whereby the food we eat is turned int...
Do Not Hurry
HOW can any one do anything well while in a constant ...
Treatment Of Other Eruptive Fevers
The treatment as prescribed for scarlatina in this pamphlet, ...
To Prevent Diarrhoea
Where it is prevailing as an _epidemic_, _Ipecac_ at night, a...
In slight cases, where the patient simply cannot sleep for tos...
Aortic Insufficiency Aortic Regurgitation
This lesion, though not so common as the mitral lesion, is of...
Punctures Case Viii
This case illustrates the mode of treatment by the lunar caus...
Anesthesia For Peroral Endoscopy
A dyspneic patient should never be given a general anesthetic...
During the process of healing, wounds often give a great deal ...
Pulse Testing For Allergies
Coca's Pulse Tests are extraordinarily useful and simple tool...
Some peoples' lives don't run smoothly. Jeanne's certainly di...
This is neuralgia in an ischiatic nerve, commonly the great i...
I shall give a couple of illustrations: In the winter of 1...
Paroxysmal Tachycardia Management
There is no specific treatment for paroxysmal tachycardia. Wh...
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