VIEW THE MOBILE VERSION of www.homemedicine.ca Informational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

The Stiffening Rods Of The Body-machine

What Bones Are. The bones are not the solid foundation and fr...

The Nails

How the Nails are Made. Another trade, which our wonderful sk...

Ablutions And Rubbing With Iced Water Or Snow

In a few very obstinate cases, when no rash would appear afte...

Nose Bleed - Epistaxis

If it arises from fullness of the vessels of the head, with t...

Of Whitlow

The lunar caustic is very useful in the treatment of this pai...

Thuya

is a specific when locally used for _Sycosis_, also for fungo...

Toxic Disturbances And Heart Rate

Under this head it is not proposed to consider disturbances...

Nervous Strain In The Emotions

THE most intense suffering which follows a misuse of ...

Rheumatism Acute Inflammatory

First ascertain if the kidneys be morbidly positive--urine sc...

Human Sympathy

A NURSE who had been only a few weeks in the hospital...

Malignant Disease Of The Esophagus

Cancer of the esophagus is a more prevalent disease than is c...

Mechanical Problems Of Bronchoscopic Foreign Body Extraction*

* For more extensive consideration of mechanical problems...

Burns Case Xxxiii

A little girl, aged 10, scalded her breast a week ago and has...

Deviation Of The Esophagus

Deviation of the esophagus may be marked in the presence of a...

The Contagion Of Scarlatina Very Active

The _contagion_ of scarlatina is very active, and adheres for...

Nourishment Heat In

Heat is absorbed in building up the bodily tissues, and given ...

Eyes Failing Sight

This often comes as the result simply of an over-wearied body ...

Spine Misshapen

Often in the case of delicate infants or children, the bones o...

Cold Cloths

See Towels, Cold Wet. ...

Children's Dangers

Avoidance of the causes of disease requires some idea of the d...



Retrograde Esophagoscopy





Category: ACQUIRING SKILL
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

The first step is to get rid of the
gastric secretions. There is always fluid in the stomach, and this
keeps pouring out of the tube in a steady stream. Fold after fold is
emptied of fluid. Once the stomach is empty, the search begins for the
cardial opening. The best landmark is a mark with a dermal pencil on
the skin at a point corresponding to the level of the hiatus
esophageus. When it is desired to do a retrograde esophagoscopy and
the gastrostomy is done for this special purpose, it is wise to have
it very high. Once the cardia is located and the esophagus entered,
the remainder of the work is very easy. Bouginage can be carried out
from below the same as from above and may be of advantage in some
cases. Strictural lumina are much more apt to be concentric as
approached from below because there has been no distortion by pressure
dilatation due to stagnation of the food operating through a long
period of time. At retrograde esophagoscopy there seems to be no
abdominal esophagus and no cardia. The esophagoscope encounters only
the diaphragmatic pinchcock which seems to be at the top of the
stomach like the puckering string at the top of a bag.

Retrograde esophagoscopy is sometimes useful for stringing the
esophagus in cases in which the patient is unable to swallow a string
because he is too young or because of an epithelial scaling over of
the upper entrance of the stricture. In such cases the smallest size
of the author's filiform bougies (Fig. 40) is inserted through the
retrograde esophagoscope (Fig. 43) and insinuated upward through the
stricture. When the tip reaches the pharynx coughing, choking and
gagging are noticed. The filiform end is brought out the mouth
sufficiently far to attach a silk braided cord which is then pulled
down and out of the gastrostomic opening. The braided silk string
must be long enough so that the oral and the abdominal ends can be
tied together to make it endless; but before doing so the oral end
should be drawn through nose where it will be less annoying than in
the mouth. The purpose of the string is to pull up the retrograde
bougies (Fig. 35)





Next: Acquiring Skill

Previous: Complications Following Esophagoscopy



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 1386