Modern surgery, general and operative . Tnonds advocates the insertion of a tube through the stricture andleaving it in place until there is decided dilatation, and then replacing thetube mth a larger instrument. The patient is fed through the tube (Fig. 592).In some cases in which it is impossible to pass a bougie through the stricture. Fig. 592.—Symondss short tube for intubation of the esophagus (Morrow). by the ordinary plan it is possible to pass one when \dewing the openingthrough the stricture by means of the esophagoscope. Whalebone or olive-tipped instruments may be passed in increasi
Modern surgery, general and operative . Tnonds advocates the insertion of a tube through the stricture andleaving it in place until there is decided dilatation, and then replacing thetube mth a larger instrument. The patient is fed through the tube (Fig. 592).In some cases in which it is impossible to pass a bougie through the stricture. Fig. 592.—Symondss short tube for intubation of the esophagus (Morrow). by the ordinary plan it is possible to pass one when \dewing the openingthrough the stricture by means of the esophagoscope. Whalebone or olive-tipped instruments may be passed in increasing sizes. Strands of sUkworm-gut may be gotten through. If they are, they can be left in place a few hours,when a larger bundle of gut or perhaps an instrument can be passed. Surgeonshave divulsed strictures and performed internal esophagostomy through anesophagoscope. Either of these plans is preferable to forcible dilatation orinternal esophagostomy by a special instrument, but without the has been advocated by Fort and others. Gradual dilatationfrom below has been practised in cases in which a bougie could not be passedfrom the mouth. A gastrostomy is performed, and after the fistula has becomesound the patient is made to swallow a shot to which is attached a silkthread (Maylard). The silk thread i
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
