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On The Treatment By Eschar And Poultice

In many cases in which it is impossible to adopt either the m...

Symptoms

Malignant disease of the esophagus is rarely seen early, bec...

Typhoid Fever

This is a dangerous, and with the ordinary allopathic treatme...

Seamill Sanatorium And Hydropathic

Very soon after the appearance of these "Papers on Health," th...

Expectoration

What is commonly called a "cough and spit" is sometimes due to...

Diphtheria

Use the A D current, strong force. Place the N. P., long cord...

Intestinal Putrefaction

The most successful procedure in the management of intestinal...

Auricular Fibrillation Treatment

The condition may be stopped by relieving the heart and circu...

The Speech Organs

The Voice, a Waste Product. It is one of the most curious thi...

Itch

I shall say but little about this very common and very obstin...

Oxalic Acid

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Sea-sickness

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Unsuccessful Bronchoscopy For Foreign Bodies

The limitations of bronchoscopic removal of foreign bodies ar...

Breathing And Bronchia

The bronchia are the branching small tubes which lead from the...

Tricuspid Stenosis Tricuspid Obstruction

This is rare and probably always congenital, and is supposed ...

Stiffness General

This is often an adjunct of old age, and sometimes occurs in t...

Hiccup

Though often but slight, disappearing in a few minutes by some ...

Training For Rest

BUT how shall we gain a natural repose? It is absurd ...

Period Of Incubation Or Hatching

The time which passes between the reception of the contagious...

Care Of Instruments

The endoscopist must either personally care for his instrume...



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.





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