VIEW THE MOBILE VERSION of www.homemedicine.ca Informational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Errors To Avoid In Suspected Foreign Body Cases

1. Do not reach for the foreign body with the fingers, lest...

Exercise

Where this is advised medically, it is often taken in a manner...

Curing With Enemas

It is not wise to continue regular colonics or enemas once a ...

Technic Of Laryngeal Operations

Preparation of the patient and anesthesia have been mentione...

Chest Protectors

These are often piled on the front of the body, while the far ...

Stammering

This trouble is simply a loss of command of the vocal organs, ...

Auricular Fibrillation Auricular Flutter

Auricular fibrillation is at times apparently a clinical enti...

Don't Talk

THERE is more nervous energy wasted, more nervous str...

Club Foot

Children are not unfrequently born with this deformity in one ...

Raw Food Healing Diets

Next in declining order of healing effectiveness is what I ca...

Oxygen Tank And Tracheotomy Instruments

Respiratory arrest may occur from shifting of a foreign body,...

Period Of Desquamation Or Peeling-off

About the sixth or seventh day, the epidermis, or cuticle of ...

Leucorrhea Whites

Take A D current, very mild force. Introduce the vaginal elec...

Testing For Electric Defects

These tests should be made beforehand; not when about to com...

Punctures Case Vii

Mr. Parr, aged 30, of delicate habit, trod upon a needle whic...

Elbow Joint

See Armpit Swelling and Bone. ...

Period Of Incubation Or Hatching

The time which passes between the reception of the contagious...

Accidents And Emergencies

Ordinarily, Accidents are not Serious. Accidents will happe...

Technic Of Specular Esophagoscopy

Recumbent patient. Boyce position. The larynx is to be expos...

Treatment Of Cicatricial Stenosis

A careful direct endoscopic examination is essential before ...



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
inefficient.

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



Add to del.icio.us Add to Reddit Add to Digg Add to Del.icio.us Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network
Report
Privacy
SHAREADD TO EBOOK


Viewed 1907