This arises generally, from inflammation of the mucous membra...
Burns Case Xxxiii
A little girl, aged 10, scalded her breast a week ago and has...
The Fulcrum Of The Bronchoscopic Lever Is At The Upper Thoracic Aperture
Disregard of this rule will cause subglottic edema and will ...
The Plumbing And Sewering Of The Body
The Wastes of the Body. Almost everything that the body does ...
Anesthesia For Peroral Endoscopy
A dyspneic patient should never be given a general anesthetic...
Cardiovascular Renal Disease Treatment
While it is urged, in preventing the actual development of th...
A very useful and comparatively safe method is illustrated i...
Raw Food Healing Diets
Next in declining order of healing effectiveness is what I ca...
This may be felt either because the breath is actually hot, or...
Contraindications To Esophagoscopy
In the presence of aneurysm, advanced organic disease, exten...
The only sure sign of the presence of this parasite in the int...
Take A D current, very mild force. Introduce the vaginal elec...
By this term we mean not only the sensible perspiration which ...
A low systolic pressure and a low diastolic pressure may no...
This is often an adjunct of old age, and sometimes occurs in t...
See Pain. ...
Face Skin Of
To secure a healthy appearance of this is worth much trouble, ...
Bruises Case Xv
The following case was far more severe, but the mode of treat...
Extraction Of Soft Friable Foreign Bodies From The Tracheobronchial Tree
The difficulties here consist in the liability of crushing or...
Diseases Of The Esophagus
The more frequent causes of the one common symptom of esophag...
Category: ESOPHAGOSCOPY FOR FOREIGN BODY
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
There is no absolute contraindication to careful
esophagoscopy for the removal of foreign bodies, even in the presence
of aneurism, serious cardiovascular disease, hypertension or the like,
although these conditions would render the procedure inadvisable.
Should the patient be in bad condition from previous ill-advised or
blind attempts at extraction, endoscopy should be delayed until the
traumatic esophagitis has subsided and the general state improved. It
is rarely the foreign body itself which is producing these symptoms,
and the removal of the object will not cause their immediate
subsidence; while the passage of the tube through the lacerated,
infected, and inflamed esophagus might further harm the patient.
Moreover, the foreign body will be difficult to find and to remove
from the edematous and bleeding folds, and the risk of following a
false passage into the mediastinum or overriding the foreign body is
great. Water starvation should be relieved by means of proctoclysis
and hypodermoclysis before endoscopy is done. The esophagitis is best
treated by placing dry on the tongue at four-hour intervals the
Rx. Anesthesin...gramme 0.12
Bismuth subnitrate...gramme 0.6
Calomel, gramme 0.006 to 0.003 may be added to each powder for a few
doses to increase the antiseptic effect. If the patient can swallow
liquids it is best to wait one week from the time of the last attempt
at removal before any endoscopy for extraction be done. This will give
time for nature to repair the damage and render the removal of the
object more certain and less hazardous. Perforation of the esophagus
by the foreign body, or by blind instrumentation, is a
contraindication to esophagoscopy. It is manifested by such signs as
subcutaneous emphysema, swelling of the neck, fever, irritability,
increase in pulsatory and respiratory rates, and pain in the neck or
chest. Gaseous emphysema is present in some cases, and denotes a
dangerous infection. Esophagoscopy should be postponed and the
treatment mentioned at the end of this chapter instituted. After the
subsidence of all symptoms other than esophageal, esophagoscopy may be
done safely. Pleural perforation is manifested by the usual signs of
pneumothorax, and will be demonstrated in the roentgenogram.
Next: Esophagoscopic Extraction Of Foreign Bodies