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

Neck Stiff

For this, rub the whole back with soap lather (see Lather; Soa...

Club Foot

Children are not unfrequently born with this deformity in one ...

Acute Diarrhea

Take B D current. Place N. P., long cord, upon the lumbar ver...

Teething

At the outset, it must ever be remembered that this is not a d...

Varieties Of Forms Of Scarlatina

The above is the description of scarlet-fever, as it most fre...

Water For Drinking

Every care should be taken to have drinking water absolutely p...

Pathologic Physiology

The development of permanent injury to one or more valves o...

Highly Inflamed Throat Croup

If the _throat_ is in a highly inflamed condition, repeated p...

Diarrhoea

This disease consists in a looseness of the bowels, generally...

Indications

Esophagoscopy is demanded in every case in which a foreign b...

Complete Recovery Of The Seriously Ill

Its a virtual certainty that to fully recover, a seriously il...

Small Pox - Variola

This disease begins with pain in the head and back, chilly se...

Instruments For Direct Laryngoscopy

In undertaking direct laryngoscopy one must always be prepar...

Burns Case Xxxvi

The last case I have to give is one of great interest, as it ...

Haemorrhoids Piles

If the case be recent, take the B D current; if old, take A D...

Polarization

It may be proper, in this place, to spend a few words upon el...

Feet Giving Way

Where there is a great deal of standing to be done by any one,...

Gangrene

See Cancer in Foot. ...

Children

WORK for the better progress of the human race is most effect...

Children's Deformed Feet

See Club Foot. ...



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pulled upon it will straighten out and may be withdrawn through the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 1088