Full many lift and sing Their sweet imagining; Not yet the Lyric Seer, The one bard of the throng, With highest gift of song, Breaks on our sentient ear. Not yet the gifted child, With notes enraptured, wild, That storm and throng the he... Read more of Negro Poets at Martin Luther King.caInformational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Classification Of Cardiac Disturbances

For the sake of discussing the therapy of cardiac disturban...

Beef Tea

It is well to bear in mind that there is scarcely any nourishm...

Removal Of Foreign Bodies From The Larynx

Symptoms and Diagnosis.--The history of a sudden choking atta...

Opium

See Narcotics. ...

Treatment Of Pseudo-anginas

The treatment of these pseudo-angibas depends, of course, on ...

Cooking

Why We Cook our Food. While some of all classes of food may...

Cold Cloths

See Towels, Cold Wet. ...

Legs Pricking Pains In

Sometimes curious pricking pains are felt in the legs, becomin...

Throat Sore

The first question in any case of sore throat, is, What is the...

Measles

_Measles_, which may be easily distinguished from scarlatina,...

Buttermilk

Where we prescribe this, either for drinking or for external u...

Boils

The following treatment will be found effective to heal less s...

Breathing Correct Method Of

The capacity of an ordinary pair of lungs is about 250 cubic i...

Dropsy

Use the A D current, moderate force. Give general tonic treat...

Inflamed Eyes

If the disease be recent and acute, (but not infectious), as ...

Stings Of Insects

The effect produced by the sting of Bees, Wasps, and Hornets ...

Internal Relaxation

Pain is often felt in parts of the back or sides which will yi...

Physical Care

REST, fresh air, exercise, and nourishment, enough of each in...

To Mothers

MOST mothers know that it is better for the baby to p...

Iron

It is essential for the welfare of the patient, especially af...



Extraction Of Foreign Bodies From The Strictured Esophagus





Category: ESOPHAGOSCOPY FOR FOREIGN BODY
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

Foreign
bodies of relatively small size will lodge in a strictured esophagus.
Removal may be rendered difficult when the patient has an upper
stricture relatively larger than the lower one, and the foreign body
passing the first one lodges at the second. Still more difficult is
the case when the second stricture is considerably below the first,
and not concentric. Under these circumstances it is best to divulse
the upper stricture mechanically, when a small tube can be inserted
past the first stricture to the site of lodgement of the foreign body.

Prolonged sojourn of foreign bodies in the esophagus, while not so
common as in the bronchi is by no means of rare occurrence. Following
their removal, stricture of greater or less extent is almost certain
to follow from contraction of the fibrous-tissue produced by the
foreign body.

Fluoroscopic esophagoscopy is a questionable procedure, for the
esophagus can be explored throughout by sight. In cases in which it is
suspected that a foreign body, such as pin, has partially escaped from
the esophagus, the fluoroscope may aid in a detailed search to
determine its location, but under no circumstances should it be the
guide for the application of forceps, because the transparent but
vital tissues are almost certain to be included in the grasp.

[197] Complications and Dangers of Esophagoscopy for Foreign Bodies.
Asphyxia from the pressure of the foreign body, or the foreign body
plus the esophagoscope, is a possibility (Fig. 91). Faulty position of
the patient, especially a low position of the head, with faulty
direction of the esophagoscope may cause the tube mouth to press the
membranous tracheo-esophageal wall into the trachea, so as temporarily
to occlude the tracheal lumen, creating a very dangerous situation in
a patient under general anesthesia. Prompt introduction of a
bronchoscope, with oxygen and amyl nitrite insufflation and artificial
respiration, may be necessary to save life. The danger is greater, of
course, with chloroform than with ether anesthesia. Cocain poisoning
may occur in those having an idiosyncrasy to the drug. Cocain should
never be used with children, and is of little use in esophagoscopy in
adults. Its application is more annoying and requires more time than
the esophagoscopic removal of the foreign bodies without local
anesthesia. Traumatic esophagitis, septic mediastinitis, cervical
cellulitis, and, most dangerous, gangrenous esophagitis may be
present, caused by the foreign body itself or ill-advised efforts at
removal. Perforation of the esophagus with the esophagoscope is rare,
in skillful hands, if the esophageal wall is sound. The esophageal
wall, however, may be weakened by ulceration, malignant disease, or
trauma, so that the possibility of making a false passage should
always deter the endoscopist from advancing the tube beyond a visible
point of weakening. To avoid entering a false passage previously
created, is often exceedingly difficult, and usually it is better to
wait for obliterative adhesive inflammation to seal the tissue layers
together.





Next: Treatment

Previous: Spatula-protected Method



Add to del.icio.us Add to Reddit Add to Digg Add to Del.icio.us Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network
Report
Privacy
SHAREADD TO EBOOK


Viewed 1232