When compensation has been restored, the patient may be allow...
The application of the lunar caustic in recent burns or scald...
For all such wounds, the best method is frequent cleansing wit...
Sitting (or Sitz) Bath
This bath, in whatever form administered, is essentially a sit...
Neutralise by chalk or lime water, but not by soda or any alka...
The lodgement of foreign bodies in the esophagus is influenc...
The regular type of laryngoscope shown in Fig. I (A, B, C) i...
These are often a really serious trouble, especially to women,...
It is true that ethical medical doctors use the least-risky ...
Auricular Fibrillation Treatment
The condition may be stopped by relieving the heart and circu...
Take the A D current. If torpid, treat with mild force. Treat...
The Half-bath The Sitz- Or Hip-bath
Should the half-bath or shallow-bath (which are technical ter...
How the Eye is Made. Next in importance after the smell and t...
Disturbances Of The Heart In General
Of prime importance in the treatment of diseases of the hea...
To wisely alter and arrange the treatment in any case is of th...
Physical Signs Of Bronchial Foreign Body
In most cases there will be limitation of expansion on the in...
Signs Of Heart Weakness
It should be remembered that a normal heart may slow to about...
Gabriel Tucker modified the regular side-curved forceps by a...
Rash Or Hives
Infants are often troubled with large red, angry-looking spots...
Ulcers Case Xxxi
Mr. S. aged 30, had a sore two inches in length in the groin,...
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.
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