Peroral endoscopy and laryngeal surgery . in Ideating the siili(:lar esophageal ojiening. The insertionof the tube into the pouch is usually very easy. Its running into a blindend or sort of pocket beyond which it will not go. and in the bottom ofwhich there is no opening, is almost diagnostic of pressure in addition to this on withdrawing the esophagoscope a little distance,we are able to find on the anterior wall, a narrowed. usuallv slit-likeopening into the lower esophagus, and we are able to enter this openingwith either a very small tube or a jirobe. which passe
Peroral endoscopy and laryngeal surgery . in Ideating the siili(:lar esophageal ojiening. The insertionof the tube into the pouch is usually very easy. Its running into a blindend or sort of pocket beyond which it will not go. and in the bottom ofwhich there is no opening, is almost diagnostic of pressure in addition to this on withdrawing the esophagoscope a little distance,we are able to find on the anterior wall, a narrowed. usuallv slit-likeopening into the lower esophagus, and we are able to enter this openingwith either a very small tube or a jirobe. which passes down readily,the diagnosis is absolute. The author uses the slanted-end esophago-scope (Fig. I2<i) to enter this slit and exjjlore the subdivertieular esoph-agus. True malignancy may exist below, and this the author has seen. 4->7.—Esuphagoscopic \icws in cases of ilivertiiuluin. Iatient \, endoscopic view of linear suture after amptitaticni of tlu divcrticiihim. P>,after suture by li;jation and Iransfixation in another case, (.rayon drawings bythe author, after operation by Dr. Otto C. Gaub. C, view looking into pouchafter partial withdrawal of the esophagoscope in a man aged 6- years. .Slit-likef)rifiee of subdivertieular esophagus seen in upper right quadrant. 1), view ofdiverticular nrilice in case of a woman of 58 years of age. Subdivertieular orificeoverhung by a fold in upper left quadrant. The ledge between the orifice and thediverticular opening, supported by the orbicular fibers of the cricopharyngeus, iscicatricial. in one case, though, m liis opniion, the <le\elopmenl of nialignanev wassecondary to the di\erticulum ;inil to the subse(|uint pathologic changes;because (jrdinarily malignancy does not last sutliciently long for a divertic-ulum to dcvclo]) from malignan
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
