This is a contagious disease, consisting in an inflammation o...
Physics Of Aortic Lesions
Next in frequency to mitral insufficiency is aortic insuffici...
During And After Desquamation The Treatment Should Be Continued As
indicated in milder cases, except the throat continue troubleso...
The Confusions About Diets And Foods
Like my daughter, many people of all ages are muddled about t...
Treatment Of Affections Of The Nervous Centres
In affections of the nervous centres, the _brain_, the _cereb...
General Principles Of Position
As will be seen in Fig. 47 the trachea and esophagus are not...
If the patient is weak, the circulation depressed, the blood ...
Lungs Bleeding From
This is usually taken as a most alarming, and even hopeless, s...
Complications Following Esophagoscopy
These are to be avoided in large measure by the exercise of ...
Relaxed And Atrophied Conditions
I alluded, above, to a distinction between a relaxed and an ...
Scarlatina Simplex Or Simple Scarlet-fever
In the _mildest form_ of the disease, called _scarlatina simp...
Nervous Strain In The Emotions
THE most intense suffering which follows a misuse of ...
These frequently remain as the so-called dregs of some illness...
Tricuspid insufficiency, except as rarely found in the fetus,...
Pulmonary Phthisis Consumption
After tubercles have been formed extensively in the lungs, an...
Conclusion: Help Yourselves If Your Physicians Will Not Help You!
And I am none of your water-enthusiasts, who pretend to cure ...
Children are not unfrequently born with this deformity in one ...
The dilatation of cicatricial stenosis of the esophagus can ...
If pneumonia or gonorrhea is supposed to be the cause of the ...
An attack of this disease generally begins with a feeling of w...
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