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Ablutions And Rubbing With Iced Water Or Snow

In a few very obstinate cases, when no rash would appear afte...



...

Nerves Shaken

By this we mean, not the nerve trouble which follows a sudden ...

Ankylosis

Fixation of the crico-arytenoid joints with an approximation...

Diphtheria

Use the A D current, strong force. Place the N. P., long cord...

Bandaging

See Veins, Swollen, etc. ...

Ankle Twisted Or Crushed

Place the foot as soon as possible in warm water, as hot as ca...

Position For Bronchoscopy And Esophagoscopy

The dorsally recumbent patient is so placed that the head an...

The Cause Of Disease

Ever since natural medicine arose in opposition to the violen...

Where Our Drinking Water Comes From

Water Contained in our Food is Pure. Seeing that five-sixths ...

Cadaver Practice

The fundamental principles of peroral endoscopy are best tau...

Bowels Glands Of

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Air

The Black Hole of Calcutta is an object lesson of how necessary...

Hypertension

Arterial hypertension may be divided into stages. In the fi...

Gatherings

See Abscess; Ankle; Armpit; Bone, Diseased. ...

Don't Talk

THERE is more nervous energy wasted, more nervous str...

Infection

Few things have so great and distressing effect as the fear of...

Water-treatment As Used By Currie Reuss Hesse Schoenlein &c

Beside the above modes of treatment _cold_ and _tepid Water_ ...

The Resort Treatment Of Chronic Heart Disease

In line with the continued growing popularity of special reso...

Muscular Action Weak

The heart is the most important of all muscles. Sometimes the ...



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



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