Informational Site NetworkInformational Site Network
Privacy
 


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Penetrating Projectiles

Foreign bodies that have penetrated the chest wall and lodge...

Pain Severe In Limbs

This is often not due to any trouble in the joint itself, but ...

Hemoptysis

In cases not demonstrably tuberculous, hemoptysis may requir...

Our Spirit-levels

The Sixth Sense. Though we usually speak of having five sens...

Treatment Of The Violent Or Sthenic Form Of Scarlatina Anginosa

The _violent_, or _sthenic form_ of scarlatina anginosa becom...

Physical Signs Of Tracheal Foreign Body

If fixed in the trachea the only objective sign of foreign bo...

General Principles Of Position

As will be seen in Fig. 47 the trachea and esophagus are not...

Asphyxia Suspended Animation

Use B D current, pretty strong force. Place P. P. at back of ...

Typhoid Fever

See Fever, Typhoid. ...

The Surgical Dissection Of The First Second Third And Fourth Layers Of The Inguinal Region In Connexion With Those Of The Thigh

The common integument or first layer of the inguino-femoral r...

Eyes Hazy Sight

Frequently, after inflammation, and even when that has ceased,...

Where Our Drinking Water Comes From

Water Contained in our Food is Pure. Seeing that five-sixths ...

Bruises Case Xvi

J. Jennings, bricklayer, aged 26, fell through the roof of a ...

In Excessive Heat And Continuous Delirium A Half-bath May Be Given

also, every time the packing sheet is changed. The rule is that...

Prostration Nervous

The various articles under Nerves and Nervousness should be re...

Punctures Case V

Mr. Cocking's son, aged 12, received a stab in the palm of th...

Methods Of Treatment

Irritating applications probably provoke recurrences, becaus...

Vitamin Program For The Sick

No matter which way you look at it or how well insured you ma...

Prevention

If the patient is weak, the circulation depressed, the blood ...

Caffein

Caffein can irritate the heart and cause irregularity and ta...



Spatula-protected Method





Category: ESOPHAGOSCOPY FOR FOREIGN BODY
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

Safety-pins in children, point upward,
when lodged high in the cervical esophagus may be readily removed with
the aid of the laryngoscope, or esophageal speculum. The keeper end is
grasped with the alligator forceps, while the spatular tip of the
laryngoscope is worked under the point. Instruments and foreign body
are then removed together. Often the pin point will catch in the
light-chamber where it is very safely lodged. If the pin be then
pulled upon it will straighten out and may be withdrawn through the
tube.

[FIG. 94.--Endogastric version. One of the author's methods of removal
of upward pointed esophageally lodged open safety-pins by passing them
into stomach, where they are turned and removed. The first
illustration (A) shows the rotation forceps before seizing pin by the
ring of the spring end. (Forceps jaws are shown opening in the wrong
diameter.) At B is shown the pin seized in the ring by the points of
the forceps. At C is shown the pin carried into the stomach and about
to be rotated by withdrawal. D, the withdrawal of the pin into the
esophagoscope which will thereby close it. If withdrawn by flat-jawed
forceps as at F, the esophageal wall would be fatally lacerated.]

Double pointed tacks and staples, when lodged point upward, must be
turned so that the points trail on removal. This may be done by
carrying them into the stomach and turning them, as described under
safety-pins.

The extraction of foreign bodies of very large size from the
esophagus is greatly facilitated by the use of general anesthesia,
which relaxes the spasmodic contractions of the esophagus often
occurring when attempt is made to withdraw the foreign body. General
anesthesia, though entirely unnecessary for introduction of the
esophagoscope, in any case may be used if the body is large, sharp,
and rough, in order to prevent laceration through the muscular
contractions otherwise incident to withdrawal.* In exceptional cases
it may be necessary to comminute a large foreign body such as a tooth
plate. A large smooth foreign body may be difficult to seize with
forceps. In this case the mechanical spoon or the author's safety-pin
closer may be used.

* It must always be remembered that large foreign bodies are very
prone to cause dyspnea that renders general anesthesia exceedingly
dangerous especially in children.

[FIG. 95.--Lateral roentgenogram of a safety-pin in a child aged 11
months, demonstrating the esophageal location of the pin in this case
and the great value of the lateral roentgenogram in the localization
of foreign bodies. The pin was removed by the author's method of
endogastric version. (Plate made by George C. Johnston )]

The extraction of meat and other foods from the esophagus at the
level of the upper thoracic aperture is usually readily accomplished
with the esophageal speculum and forceps. In certain cases the
mechanical spoon will be found useful. Should the bolus of food be
lodged at the lower level the esophagoscope will be required.





Next: Extraction Of Foreign Bodies From The Strictured Esophagus

Previous: Endogastric Version



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 1272