The lodgement of foreign bodies in the esophagus is influenc...
Period Of Desquamation Or Peeling-off
About the sixth or seventh day, the epidermis, or cuticle of ...
Eyes Hazy Sight
Frequently, after inflammation, and even when that has ceased,...
Ears Singing In The
Partial deafness is often accompanied by noises in the ear, wh...
Delirium In Fever
The best way of treating this truly distressing symptom is by ...
Other Sequels Dropsy &c
Beside the ulceration of glands and deafness, some of the seq...
Foreign bodies that have penetrated the chest wall and lodge...
The Relative Anatomy Of The Male Pelvic Organs
As the abdomen and pelvis form one general cavity, the organs...
See Gravel. ...
The first step is to get rid of the gastric secretions. Ther...
Though often but slight, disappearing in a few minutes by some ...
Necessity Of Ventilation Means Of Heating The Sick-room Relative Merits Of Open Fires Stoves And Furnaces
Next to its intrinsic value, our method gives the patient the...
See Urinary Troubles. ...
The Use Of The Will
IT is not generally recognized that the will can be t...
Action Balance Of
An excellent guide to the proper treatment of any case is to b...
Clothes should be Loose and Comfortable. Man is the only anim...
Is the process whereby the digested food is carried into the b...
If the disease be general in the system, moving from place to...
We have had many cases of contracted limbs, arising from vario...
The Glands In The Skin
Sweat Glands. Like all the pavement (epithelial) surfaces of ...
Diffuse Dilatation Of The Esophagus
Category: DISEASES 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