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Medical ArticlesBurns Case Xxxvi
The last case I have to give is one of great interest, as it ...
Educate your eye and your fingers. Be sure you are right...
See Hearing. ...
Bowels Glands Of
Symptoms of glandular trouble in the bowels are--weariness and...
If these are of the nature of cramps, which come on while lyin...
Breathing In Going Uphill
See Breath, and Nerve. British Cholera is to a certain ext...
Lues Of The Tracheobronchial Tree
Compared to laryngeal involvement, syphilis of the tracheobr...
Natural Polarization Of Man's Physical Organism
The electro-vital fluid, in the animal economy, is subject to...
The treatment of a suspected coronary sclerosis is the same a...
Vegetables Green And Fruit
We would strongly recommend our readers to continually have th...
To Prevent Diarrhoea
Where it is prevailing as an _epidemic_, _Ipecac_ at night, a...
The swelling of veins in the leg is a very common trouble, esp...
Head Sounds In
As the result and accompaniment of deafness these are sometime...
From The Hygienic Dictionary
Diagnosis.  In the United States, making a diagnosis impli...
are: A fetid breath, with ulceration and sloughing of the thr...
Food Combining And "healthfood Junkfood"
This brings us to a topic I call healthfood junkfood. Many pe...
In all fevers, to cool down the excessive heat of the patient ...
How And Why We Breathe
Life is Shown by Breathing. If you wanted to find out whether...
Enemas Versus Colonics
People frequently wonder what is the difference between a col...
The Use Of The Will
IT is not generally recognized that the will can be t...
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.