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This is usually a bodily illness, though often regarded as men...
One of the most common causes of hypertension is clue to exce...
Of Punctures Etc
In cases of recent punctured wounds the orifice and surroundi...
The Prime Rules Of Fasting
Another truism of natural hygiene is that we dig our own grav...
Diet And Baths In Heart Disease
The diet in cardiac diseases has already incidentally been ...
Acute Mild Endocarditis
This inflammation of the endocardium is generally confined to...
What Keeps Us Alive
The Energy in Food and Fuel. The first question that arises i...
Head Sounds In
As the result and accompaniment of deafness these are sometime...
Fever arising from bad state of the blood may be treated by ca...
3 Treatment Of Torpid Forms Of Scarlatina Difference In The
TREATMENT POINTED OUT. When the _reaction_ is _torpid_, the ...
These are often performed in cases in which proper treatment o...
See Narcotics. ...
Complications Following Esophagoscopy
These are to be avoided in large measure by the exercise of ...
Direct laryngoscopy, bronchoscopy, esophagoscopy and gastrosc...
If you would cure thoroughly, you must first make sure that th...
Infections And How To Avoid Them
What Causes Disease. The commonest and most dangerous acciden...
The cause of an irregularly acting heart in an adult may be o...
Children In Fever
Fevered children, whether in any actual fever, as scarlet, typ...
It is well to bear in mind that there is scarcely any nourishm...
Ulceration Of The Esophagus
Superficial erosions of the esophagus are by no means an unco...
Diffuse Dilatation Of The Esophagus
Category: DISEASES OF THE ESOPHAGUS
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
This is practically always due to stagnation ectasia, which is
invariably associated with either organic or spasmodic stricture,
existing at the time of observation or at some time prior thereto. The
dilating effect of the repeatedly accumulated food results in a
permanent enlargement, so that the esophagus acts as the reservoir of
a large funnel with a very small opening. When food is swallowed the
esophagus fills, and the contents trickle slowly through the opening.
Gases due to fermentation increase the distension and cause substernal
pressure, discomfort, and belching. A very large dilatation of the
thoracic esophagus indicates spastic stenosis. Cicatricial stenoses do
not result in such large dilatations and the dilatation above a
malignant stenosis is usually slight, probably because of its
relatively shorter duration.
The treatment of diffuse esophageal dilatation consists in dilating
the diaphragmatic pinchcock that is, the hiatal esophagus. Chronic
esophagitis is to be controlled by esophageal lavage, the regulation
of the diet to liquefiable foods and the administration of bismuth
subnitrate. The patient can be taught to do the lavage. The local
esophagoscopic application of a small quantity of a 25 per cent watery
solution of argyrol may be required for the static esophagitis. The
redundancy probably never disappears; but functional and subjective
cures are usually obtainable.
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