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I shall say but little about this very common and very obstin...
It is well to bear in mind that there is scarcely any nourishm...
To Prevent Cholera
_Camphor_ (_pellets medicated_ with the pure tincture) _Verat...
The Surgical Dissection Of The Bend Of The Elbow And The Forearm Showing The Relative Position Of The Arteries Veins And Nerves
The farther the surgical region happens to be removed from th...
Eyes Inflamed With General Eruptions Over The Body
In some cases the eye trouble is only a part of a general skin...
Breath And The Skin
The organs of breathing remove much waste from the system, but...
Pericarditis Symptoms And Signs
If there is pain or much aching in the cardiac region, it ten...
The question often arises as to the ability of children to bea...
The Effect Of Athletics On The Heart
We can no longer neglect the seriousness of the effects of c...
Pain is often felt in parts of the back or sides which will yi...
A, Gastroscopic view of a gastrojejunostomy opening drawn pat...
Use the A D current, medium force. Treat with P. P. over the ...
Endoscopy On The Human Being
Dog work offers but little practice in laryngoscopy. Because...
Although curative attributes were ascribed to the magnet in...
By this term we mean not only the sensible perspiration which ...
Food Combining And "healthfood Junkfood"
This brings us to a topic I call healthfood junkfood. Many pe...
The spatular end of the laryngoscope should now be tipped ba...
Esophagoscopy For Foreign Body
This drug is a West Indian gum, and is one of those remedies w...
Treatment Of Broken Compensation
The consideration of this subject will include the following ...
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.