|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
We have had so much success in helping the deaf that we feel w...
Introduction Of The Esophagoscope
The esophagoscope is to be passed only with ocular guidance, ...
Eyes Paralysis Of
The partial paralysis of the muscles of one eye produces doubl...
See Baths for Head. ...
Rub the hands and arms well twice a day with CAYENNE LOTION (s...
The Coal Foods
Kinds of Coal Foods. There are many different kinds of Coal...
For this take two tablespoonfuls of hot water every five minut...
There is intense drowsiness and contraction of pupils of eye. ...
If the foreign body be not removed, the resulting chronic se...
This is a contagious disease, and always begins with symptoms...
If the disease be recent and acute, (but not infectious), as ...
This serious trouble in slighter forms affects one side of the...
This trouble is often only aggravated and made chronic by the ...
These are of two kinds, the one purely imaginary, the other wh...
Emetic; stimulate and keep warm; keep patient lying down. ...
THERE was once a family who had a guest staying with ...
Toxic Disturbances And Heart Rate
Under this head it is not proposed to consider disturbances...
Conclusive Remarks Obstacles
Before concluding my article, I shall attempt to remove a few...
There is a vast variety of ailments associated with what is ca...
By this we mean, not the nerve trouble which follows a sudden ...
Contraindications To Esophagoscopy
Category: DISEASES OF THE ESOPHAGUS
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
In the presence of aneurysm,
advanced organic disease, extensive esophageal varicosities, acute
necrotic or corrosive esophagitis, esophagoscopy should not be done
except for urgent reasons, such as the lodgment of a foreign body; and
in this case the esophagoscopy may be postponed, if necessary, unless
the patient is unable to swallow fluids. Esophagoscopy should be
deferred, in cases of acute esophagitis from swallowing of caustics,
until sloughing has ceased and healing has strengthened the weak
places. The extremes of age are not contraindications to
esophagoscopy. A number of newborn infants have been esophagoscoped by
the author; and he has removed foreign bodies from patients over 80
years of age.
Water starvation makes the patient a very bad surgical subject, and
is a distinct contraindication to esophagoscopy. Water must be
supplied by means of proctoclysis and hypodermoclysis before any
endoscopic or surgical procedure is attempted. If the esophageal
stenosis is not readily and quickly remediable, gastrostomy should be
done immediately. Rectal feeding will supply water for a limited
time, but for nutrient purposes rectal alimentation is dangerously
Preliminary examination of the pharynx and larynx with tongue
depressor should always precede esophagoscopy, for any purpose,
because the symptoms may be due to laryngeal or pharyngeal disease
that might be overlooked in passing the esophagoscope. A high degree
of esophageal stenosis results in retention in the suprajacent
esophagus of the fluids which normally are continually flowing
downward. The pyriform sinuses in these cases are seen with the
laryngeal mirror to be filled with frothy secretion (Jackson's sign of
esophageal stenosis) and this secretion may sometimes be seen
trickling into the larynx. This overflow into the larynx and lower air
passages is often the cause of pulmonary symptoms, which are thus
strictly secondary to the esophageal disease.
Next: Anomalies Of The Esophagus
Previous: Indications For Esophagoscopy In Disease