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

Colic Of Whatever Kind

Use A D current, pretty strong force. In severe cases, introd...

Dripping Sheet Substitute For The Half-bath

To apply the _dripping sheet_, a tin bathing hat or a large w...

Circulation Of The Blood

Nothing is more important for the health or healing of any org...

Digestion

Digestion is the process whereby the food we eat is turned int...

The Dissection Of The Oblique Or External And The Direct Or Internal Inguinal Herniae

The order in which the herniary bowel takes its investments f...

Ulcers Case Xxiii

Mr. Marshall, aged 60, had a troublesome ulcer under the oute...

Necessity Of Ventilation Means Of Heating The Sick-room Relative Merits Of Open Fires Stoves And Furnaces

Next to its intrinsic value, our method gives the patient the...

Thuya

is a specific when locally used for _Sycosis_, also for fungo...

Spine Weakness Of The

See Children's Healthy Growth. ...

Van Helmont

JOHANN BAPTIST VAN HELMONT, a celebrated Belgian physician, s...

Head Massaging The

This is so important in many cases of neuralgia, headache, and...

Nightmare

In serious cases of this trouble, the patient awakes some time...

From The Hygienic Dictionary

Doctors. [1] In the matter of disease and healing, the peopl...

Cooking

Why We Cook our Food. While some of all classes of food may...

Decannulation After Cure Of Laryngeal Stenosis

In order to train the patient to breathe again through the la...

Common Colds

Take the B D Faradaic current--moderate strength. If the affe...

Headache

This symptom or affection, (if it can be classed as a disease...

Blood

A most common trouble is anaemia, a lack of good red blood, sh...

Retrograde Esophagoscopy

The first step is to get rid of the gastric secretions. Ther...

The Surgical Dissection Of The Deep Structures Of The Male Perinaeum The Lateral Operation Of Lithotomy

The urethra, at its membranous part, M, Fig. 1, Plate 53, whi...



Treatment





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.





Next: Radiotherapy

Previous: Diagnosis



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 1259