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Medical ArticlesMoodsRELIEF from the mastery of an evil mood is like fresh air aft... Inward Rotation Method When the point is found to be buried in the mucosa, the best... Indications For Esophagoscopy In Disease Any persistent abnormal sensation or disturbance of function... Endoscopy On The Human Being Dog work offers but little practice in laryngoscopy. Because... Length Of Bath Although the temperature, in sthenic cases, should be a littl... Skin A Wintry Something like an epidemic of skin trouble is often experience... Length Of The Fast How long should a person fast? In cases where there are serio... The Speech Organs The Voice, a Waste Product. It is one of the most curious thi... Pneumonia Its Cause and Prevention. The other great disease of the lung... Cephalagia Headache 1. "Nervous headache." Take the B D current--moderate force. ... Styptic Charms Fancy can save or kill; it hath closed up wounds, when t... Nervous Strain In Pain And Sickness THERE is no way in which superfluous and dangerous te... Face Skin Of To secure a healthy appearance of this is worth much trouble, ... Clothing Clothes should be Loose and Comfortable. Man is the only anim... Burns And Scalds No matter what the nature and extent of the burn may be, the ... Calendula is applied to wounds, _incised_ and _lacerated_, promoting he... Feet Giving Way Where there is a great deal of standing to be done by any one,... The Anti-gastric Method consisting in the free use of emetics or purgatives, has been... Vocal Results A whispering voice can always be had as long as air can pass... Endogastric Version A very useful and comparatively safe method is illustrated i... |
Compression Stenosis Of The EsophagusCategory: 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. 3. Aneurysm. 4. Cardiac and aortic enlargement. 5. Lymphadenopathies. Hodgkins' disease. Leukemia. Lues. Tuberculosis. Simple infective adenitis. 6. Lordosis. 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
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