|FEDERAL WRITERS' PROJECT American Guide, (Negro Writers' Unit) Martin Richardson, Field Worker Greenwood, Florida March 18, 1937 BILL AUSTIN Bill Austin--he says his name is NOT Williams--is an ex-slave who gained his freedom becaus... Read more of Bill Austin at Martin Luther King.ca|| Informational|
We have had so much success in helping the deaf that we feel w...
Raw Food Healing Diets
Next in declining order of healing effectiveness is what I ca...
The Fundamental Principle
If you are a true believer in any of the above food religions...
Diagnosis Of Foreign Body In The Air Or Food Passages
The questions arising are: I. Is a foreign body present? ...
Examination Of The Trachea And Bronchi
All bronchial orifices must be identified seriatim; because ...
Eyes Accidents To
Three distinct classes of these are to be considered. They req...
Removal Of Open Safety Pins From The Trachea And Bronchi
Removal of a closed safety pin presents no difficulty if it i...
See Children's Sleep. ...
Water On The Chest
Sometimes a large watery swelling appears in one part or anoth...
The Wet Compress
In bed, a wet compress is put on the throat, and another on t...
Rules For The Application Of Water In Typhoid Cases
As a general rule, in typhoid cases, bathing should form one ...
If the disease be recent and acute, (but not infectious), as ...
Dysmenorrhoea - Painful Menstruation
For this disorder, I know of no one remedy so valuable as the...
Use the A D current, moderate force. Give general tonic treat...
SELF-CONSCIOUSNESS may be truly defined as a person's...
Bowels Locking Of
Sometimes when one part of the bowels is much more active than...
From The Hygienic Dictionary
Doctors.  In the matter of disease and healing, the peopl...
Emetic; stimulate and keep warm; keep patient lying down. ...
This is an eruption on the skin, often coming suddenly and goi...
Colds Consumption And Pneumonia
Disease Germs. In all foul air there are scores of different ...
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