|A Georgia woman who moved to Philadelphia found she could not be contented without the colored mammy who had been her servant for many years. She sent for old mammy, and the servant arrived in due season. It so happened that the Georgia woman... Read more of GAS STOVES at Free Jokes.ca|| Informational|
See Indigestion. ...
TO argue with nervous anxiety, either in ourselves or...
The Sitz-bath May Be Taken In A Small Wash-tub If There Is No
proper sitz-bath-tub at hand. It should be large enough to allo...
It is essential for the welfare of the patient, especially af...
Ulcers Case Xxii
J. Copeland, blacksmith, aged 38, came to me with many deep ...
This should always be managed so as to soothe and not excite t...
I have been treating several hundred cases of eruptive fevers...
There is no absolute contraindication to careful esophagosco...
Have a piece of M'Clinton's soap, a good shaving brush, and a ...
Physics Of Aortic Lesions
Next in frequency to mitral insufficiency is aortic insuffici...
Inflammation Of The Brain
See Brain. See also Knee; Limbs, Inflamed; Lungs, etc. ...
MICHEL DE NOTREDAME, or NOSTRADAMUS, a celebrated French phys...
Highly Inflamed Throat Croup
If the _throat_ is in a highly inflamed condition, repeated p...
Technic Of Bronchoscopy
Local anesthesia is usually employed in the adult. The patien...
The Lower Animals
It may, by some, be objected that, if we regard sensation as ...
The esophagoscope, like the bronchoscope, is a hollow brass ...
Bowels Inflammation Of
This (called medically Peritonitis) is an inflammation of the ...
Cases Beyond The Remedy Of Fasting
Occasionally, very ill people have a liver that has become so...
Ulcers Case Xxviii
Mrs. U. aged 60, has been subject to ulcerated legs for sever...
This rarely, if ever, occurs alone; it is generally a sequenc...
Category: MALIGNANT DISEASE OF THE ESOPHAGUS
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
The present 100 per cent mortality in cancer of the
esophagus will be lowered and a certain percentage of surgical cures
will be obtained when patients with esophageal symptoms are given the
benefit of early esophagoscopic study. The relief or circumvention of
the dysphagia requires early measures to prevent food and water
starvation. Bouginage of a malignant esophagus to increase
temporarily the size of the stenosed lumen is of questionable
advisability, and is attended with the great risk of perforating the
weakened esophageal wall.
Esophageal intubation may serve for a time to delay gastrostomy but
it cannot supplant it, nor obviate the necessity for its ultimate
performance. The Charters-Symonds or Guisez esophageal intubation tube
is readily inserted after drawing the larynx forward with the
laryngoscope. The tube must be changed every week or two for cleaning,
and duplicate tubes must be ready for immediate reinsertion.
Eventually, a smaller, and then a still smaller tube are needed, until
finally none can be introduced; though in some cases the tube can be
kept in the soft mass of fungations until the patient has died of
hemorrhage, exhaustion, complications or intercurrent disease.
Gastrostomy is always indicated as the disease progresses, and it
should be done before nutrition is greatly impaired. Surgeons often
hesitate thus to operate on an inoperable case; but it must be
remembered that no one should be allowed to die of hunger and thirst.
The operation should be done before inanition has made serious
inroads. As in the case of tracheotomy, we always preach doing it
early, and always do it late. If postponed too long, water starvation
may proceed so far that the patient will not recover, because the
water-starved tissues will not take up water put in the stomach.