|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
The patient should be placed in the recumbent position, with...
Burns Case Xxxv
The following case will present a specimen of my trials of th...
Have a piece of M'Clinton's soap, a good shaving brush, and a ...
Roentgenray Study In Foreign Body Cases
Roentgenography.--All cases of chest disease should have the ...
There is a vast variety of ailments associated with what is ca...
Clothes should be Loose and Comfortable. Man is the only anim...
Rest In Sleep
HOW do we misuse our nervous force? First, let us con...
Training For Rest
BUT how shall we gain a natural repose? It is absurd ...
Enough has already been said of the value and limitations of ...
Why We Cook our Food. While some of all classes of food may...
Prognosis And Convalescence
The duration of acute endocarditis varies greatly; it may be ...
REST, fresh air, exercise, and nourishment, enough of each in...
Congenital And Pathological Deformities Of The Prepuce And Urethra Stricture And Mechanical Obstructions Of The Urethra
When any of the central organs of the body presents in a fo...
Methods Of Treatment
Irritating applications probably provoke recurrences, becaus...
Symptomatology And Diagnosis Of Foreign Bodies In The Air And Food Passages
Initial symptoms are choking, gagging, coughing, and wheezing...
Stage I Entering The Right Pyriform Sinus
The operator standing (as in Fig. 66), inserts the esophagos...
From The Hygienic Dictionary
Diagnosis.  In the United States, making a diagnosis impli...
How To Sleep Restfully
IT would seem that at least one might be perfectly fr...
will often cure malignant ulcers both of the breast and uteru...
Bowels Glands Of
Symptoms of glandular trouble in the bowels are--weariness and...
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pulled upon it will straighten out and may be withdrawn through the
[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
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