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Eyes Cataract On

This disease has been arrested, and in earlier stages even cur...

Mustard Oil

Where this is recommended the cold-drawn oil is meant, not the...

Ulcers Case Xxvii

Mrs. Wakefield, aged 36, had an extensive ulceration with exc...

Sleep And Rest

Why We Need Rest. A most important element in a life of healt...

The Surgical Dissection Of The Sterno-clavicular Or Tracheal Region And The Relative Position Of Its Main Bloodvessels Nerves &c

The law of symmetry governs the development of all structures...

Hope And Healing

The mind has always an influence on the body. Life rises and f...

Training For Rest

BUT how shall we gain a natural repose? It is absurd ...

Other Lesions

Tricuspid insufficiency, except as rarely found in the fetus,...

Foreign Bodies In The Larynx And Tracheobronchial Tree

The protective reflexes preventing the entrance of foreign bo...

Bradycardia Symptoms

If a person has been long accustomed to a slow-acting heart, ...


Some most distressing troubles come as the result of frights. ...


Smoking, a Senseless Habit. Smoking is the curious act of dra...

Rhus Tox

applied, with water at the strength of thirty drops of the _t...

Typhoid Fever

See Fever, Typhoid. ...

Acquiring Skill

Endoscopic ability cannot be bought with the instruments. As ...

Symptoms Of Laryngeal Foreign Body

1. Initial laryngeal spasm followed by wheezing respiration...

Treatment Of Scarlatina Anginosa Or Sore-throat Scarlet-fever

In _scarlatina anginosa_, or _sore-throat scarlet-fever_, whi...


The chief traumatic factors in chronic laryngeal stenosis ar...

Bowels Glands Of

Symptoms of glandular trouble in the bowels are--weariness and...

Entering The Bronchi

The lip of the bronchoscope should be turned in the directio...

Diffuse Dilatation Of The Esophagus

Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

This is practically always due to stagnation ectasia, which is
invariably associated with either organic or spasmodic stricture,
existing at the time of observation or at some time prior thereto. The
dilating effect of the repeatedly accumulated food results in a
permanent enlargement, so that the esophagus acts as the reservoir of
a large funnel with a very small opening. When food is swallowed the
esophagus fills, and the contents trickle slowly through the opening.
Gases due to fermentation increase the distension and cause substernal
pressure, discomfort, and belching. A very large dilatation of the
thoracic esophagus indicates spastic stenosis. Cicatricial stenoses do
not result in such large dilatations and the dilatation above a
malignant stenosis is usually slight, probably because of its
relatively shorter duration.

The treatment of diffuse esophageal dilatation consists in dilating
the diaphragmatic pinchcock that is, the hiatal esophagus. Chronic
esophagitis is to be controlled by esophageal lavage, the regulation
of the diet to liquefiable foods and the administration of bismuth
subnitrate. The patient can be taught to do the lavage. The local
esophagoscopic application of a small quantity of a 25 per cent watery
solution of argyrol may be required for the static esophagitis. The
redundancy probably never disappears; but functional and subjective
cures are usually obtainable.

Next: Spasmodic Stenosis Of The Esophagus

Previous: Compression Stenosis Of The Esophagus

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