|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Many of the troubles which come in this process arise simply f...
Flour, And Other Matters Relating To Seeds
One of the largest degradations to human health was caused by...
These are of two kinds, the one purely imaginary, the other wh...
Have a piece of M'Clinton's soap, a good shaving brush, and a ...
Wide gagging prevents proper exposure of the larynx by forci...
Foreign Bodies In The Larynx
Laryngeally lodged foreign bodies produce a wheezing respirat...
Muscular Action Weak
The heart is the most important of all muscles. Sometimes the ...
Do Not Hurry
HOW can any one do anything well while in a constant ...
This is a disease of children. Comes on in consequence of a s...
In most cases of bronchiectasis there are strong indications...
There is no absolute contraindication to careful esophagosco...
Climate And Soil
The soil on which one lives is a matter of primary importance;...
This is a slow, smouldering kind of fever. For treatment, pack...
Food Combining And "healthfood Junkfood"
This brings us to a topic I call healthfood junkfood. Many pe...
Part of a raw turnip is grated down to a pulp. As much of this...
Esophageal Foreign Body
After initial choking and gagging, or without these, there m...
Pulmonary Stenosis Pulmonary Obstruction
If stenosis is actually present in this location, the lesion ...
will often cure malignant ulcers both of the breast and uteru...
The Human Comedy
I know most of my readers have been heavily indoctrinated abo...
The Care Of An Invalid
TO take really good care of one who is ill requires n...
Lues Of The Esophagus
Category: DISEASES OF THE ESOPHAGUS
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
Esophageal syphilis is a rather rare affection, and may show itself
as a mucous plaque, a gumma, an ulceration, or a cicatrix. Cicatricial
stenosis developing late in life without history of the swallowing of
escharotics or ulcerative lesions is strongly suggestive of syphilis,
though the late manifestation of a congenital stenosis is a
Esophagoscopic appearances of lues are not always characteristic. As
in any ulcerative lesion, the inflammatory changes of mixed infections
mask the basic nature. The mucous plaque has the same appearance as
one situated on the velum, and gummata resemble those seen in the
mucosa elsewhere. There is nothing characteristic in luetic
The diagnosis of luetic lesions of the esophagus, therefore, depends
upon the history, presence of luetic lesions elsewhere, the serologic
reaction, therapeutic test, examination of tissue, and the
demonstration of the treponema pallidum. The therapeutic test by
prolonged saturation of the system with mercury is imperative in all
suspected cases and no other negative result should be deemed
The treatment of luetic esophagitis is systemic, not local. Luetic
cicatrices contract strongly, and are very resistant to treatment, so
that esophagoscopic bouginage should be begun as early as possible
after the healing of a luetic ulceration, in order to prevent
stenosis. A silk-woven endoscopic bougie placed in position by ocular
guidance, and left in situ for from half to one hour daily, may
prevent severe contraction, if used early in the stage of
cicatrization. Prolonged treatment is required for the cure of
established luetic cicatricial stenosis. If gastrostomy has been done
retrograde bouginage (Fig. 35) may be used.
Next: Tuberculosis Of The Esophagus
Previous: Paralysis Of The Esophagus