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Gatherings

See Abscess; Ankle; Armpit; Bone, Diseased. ...

Symptoms

In hypertension, as long as the heart, which is probably hyp...

Rotation Forceps

It is sometimes desired to make traction on an irregularly s...

Croup Less Serious Form

The less serious croup proceeds from a nervous closing of the ...

Cardiovascular Renal Disease

With the strennousness of this era, this disease or conditi...

Epidemics

The key to action in case of epidemics prevailing in the distr...

Treatment Of The Mild Or Erethic Form Of Scarlatina Anginosa

The _mild_ or _erethic form_ of scarlatina anginosa requires ...

Inflamed Eyes

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

On Ulcers

From the preceding observations it would naturally be conclud...

The Organic Versus Chemical Feud

Now, regrettably, and at great personal risk to my reputation...

Infants' Sleep

See Children's Sleep. ...

Starvation

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The Fundamental Principle

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Chloral

Emetic; warm coffee, and even an enema of coffee. Artificial r...

Paralysis

Take the B D current, medium force. If the paralysis be in a ...

Specular Esophagoscopy

Inspection of the hypopharynx and upper esophagus is readily...

Fever Scarlet Or Scarlatina

As a first precaution, when an epidemic of this exists, childr...

The Journey Down The Food Tube

The Flow of Saliva and Appetite Juice. We are now ready to st...

The Teeth The Ivory Keepers Of The Gate

Why the Teeth are Important. The teeth are a very important...

Armpit Swelling

Often this comes as the result of a chill, or of enfeeblement ...



Site Of Lodgement





Category: FOREIGN BODIES IN THE ESOPHAGUS
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

Almost all foreign bodies are arrested in the
cervical esophagus at the level of the superior aperture of the
thorax. A physiologic narrowing is present at this level, produced in
part by muscular contraction, and mainly by the crowding of the
adjacent viscera into the fixed and narrow upper thoracic aperture. If
dislodged from this position the foreign body usually passes downward
to be arrested at the next narrowing or to pass into the stomach. The
esophagoscopist who encounters the difficulty of introduction at the
cricopharyngeal fold expects to find the foreign body above the fold.
Such, however, is almost never the case. The cricopharyngeus muscle
functionates in starting the foreign body downward as if it were food;
but the narrowing at the upper thoracic aperture arrests it because
the esophageal peristaltic musculature is feeble as compared to the
powerful inferior constrictor.





Next: Symptoms
Previous: Etiology




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