The cause of an irregularly acting heart in an adult may be o...
Length Of Pack Perspiration
To make quite sure of the reaction, the single sheet may be t...
Diet Is Not Enough
Those isolated, long-lived peoples discovered by Weston A. Pr...
Esophagoscopy is demanded in every case in which a foreign b...
Cayenne And Mustard
Mustard spread on a cold towel and applied to the spine or lum...
Fever At Night
Frequently, in illness, a fever sets in as night approaches, a...
Almost hopeless. Emetic; artificial respiration. ...
Often in the case of delicate infants or children, the bones o...
Esophageal Foreign Body
After initial choking and gagging, or without these, there m...
Suppression Of The Menses Amenorrhoea
For sudden suppression from taking cold, as by wetting the ...
Seamill Sanatorium And Hydropathic
Very soon after the appearance of these "Papers on Health," th...
After a fall from a height, where there is no apparent outward...
During And After Desquamation The Treatment Should Be Continued As
indicated in milder cases, except the throat continue troubleso...
How the Eye is Made. Next in importance after the smell and t...
This disease, in addition to the symptoms of cutting, crampin...
Necessity Of Allaying The Heat
The packs and baths should be continued, even when the patien...
At the outset, it must ever be remembered that this is not a d...
This is a disease of the skin, producing redness, burning and...
See Convulsions; Nervous Attack. ...
After a fright, or some very trying experience, some part of t...
Mechanical Problems Of Esophagoscopic Removal Of Foreign Bodies
Category: ESOPHAGOSCOPY FOR FOREIGN BODY
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
The bronchoscopic problems considered in the previous chapter should
The extraction of transfixed foreign bodies presents much the same
problem as those in the bronchi, though there is no limit here to the
distance an object may be pushed down to free the point. Thin, sharp
foreign bodies such as bones, dentures, pins, safety-pins, etcetera,
are often found to lie crosswise in the esophagus, and it is
imperative that one end be disengaged and the long axis of the object
be made to correspond to that of the esophagus before traction for
removal is made (Fig. 92). Should the intruder be grasped in the
center and traction exerted, serious and perhaps fatal trauma might
 [FIG. 92.--The problem of the horizontally transfixed foreign
body in the esophagus. The point, D, had caught as the bone, A, was
being swallowed. The end, E, was forced down to C, by food or by blind
attempts at pushing the bone downward. The wall, F, should be
laterally displaced to J, with the esophagoscope, permitting the
forceps to grasp the end, M, of the bone. Traction in the direction of
the dart will disimpact the bone and permit it to rotate. The rotation
forceps are used as at K.]
[FIG. 93.--Solution of the mechanical problem of the broad foreign
body having a sharp point by version. If withdrawn with plain forceps
as applied at A, the point B, will rip open the esophageal wall. If
grasped at C, the point, D, will rotate in the direction of F and will
trail harmlessly. To permit this version the rotation forceps are used
as at H. On this principle flat foreign bodies with jagged or rough
parts are so turned that the potentially traumatizing parts trail
The extraction of broad, flat foreign bodies having a sharp point or a
rough place on part of their periphery is best accomplished by the
method of rotation as shown in Fig. 93.
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