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In 1845-46 there was an epidemic in Dresden, a city of 100,00...
Cicatricial Stenosis Of The Esophagus
Etiology.--The accidental swallowing of caustic alkali in sol...
has great power as a local remedy in _Erysipelas_, to be appl...
Burns Case Xxxiv
Mr. C. aged 51, scalded his leg ten days ago on the instep. H...
Physics Of Mitral Stenosis
Mitral stenosis, though less common than mitral regurgitation...
The Relations Of The Principal Bloodvessels To The Viscera Of The Thoracico-abdominal Cavity
The median line of the body is occupied by the centres of the...
This arises from the undue contraction of some of the muscles ...
Asphyxia Suspended Animation
Use B D current, pretty strong force. Place P. P. at back of ...
Preparation Of Medicine
As it often becomes necessary for the practitioner to make mo...
Amenorrhea Suppressed Menstruation
Treat as for chlorosis. But if the case be recent--the effect...
See Erysipelas. ...
The Surgical Dissection Of The Deep Structures Of The Male Perinaeum The Lateral Operation Of Lithotomy
The urethra, at its membranous part, M, Fig. 1, Plate 53, whi...
For traumatic trismus, use the B D current, of vigorous force...
Ice-water And Snow-bath In Malignant Cases
If no rash appear during the first pack, which will scarcely ...
Alice was a middle-aged woman who couldn't understand why she...
See Cancer in Foot. ...
Nourishment Heat In
Heat is absorbed in building up the bodily tissues, and given ...
Treatment Of Affections Of The Nervous Centres
In affections of the nervous centres, the _brain_, the _cereb...
Infections And How To Avoid Them
What Causes Disease. The commonest and most dangerous acciden...
Physical Signs Of Bronchial Foreign Body
In most cases there will be limitation of expansion on the in...
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
The dilatation of cicatricial stenosis of the
esophagus can be done safely only by endoscopic methods. Blind
esophageal bouginage is highly dangerous, for the lumen of the
stricture is usually eccentric and the bougie is therefore apt to
perforate the wall rather than find the small opening. Often there is
present a pouching of the esophagus above a stricture, in which the
bougie may lodge and perforate. Bougies should be introduced under
visual guidance through the esophagoscope, which is so placed that the
lumen of the stricture is in the center of the endoscopic field. The
author's endoscopic bougies (Fig. 40) are made with a flexible
silk-woven tip securely fastened to a steel shaft. This shaft lends
rigidity to the instrument sufficient to permit its accurate
placement, and its small size permits the eye to keep the silk-woven
tip in view. These endoscopic bougies are made in sizes from 8 to 40,
French scale. The larger sizes are used especially for the dilatation
of laryngeal and tracheal stenoses. For the latter work it is
essential that the bougies be inspected carefully before they are
used, for should a defective tip come off while in the lower air
passages a difficult foreign body problem would be created.
Soft-rubber retrograde dilators to be drawn upward from the stomach by
a swallowed string are useful in gastrostomized cases (Fig. 35).
[FIG 38.--Half curved hook, 45 cm. and 60 cm. Full curved patterns are
made but caution is necessary to avoid them becoming anchored in the
bronchi. Spiral forms avoid this. The author makes for himself steel
probe-pointed rods out of which he bends hooks of any desired shape.
The rod is held in a pin-vise to facilitate bending of the point,
after heating in an alcohol or bunsen flame.]
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