Peroral endoscopy and laryngeal surgery . 399.—Radium capsule in place in a case of esophageal cancer. The esoph-agoscopc, screened with hard ruhber, is kept in situ to watch the position of thecapsule until certain it will not shift. 458 MALIGNANT DISEASE OF THE ESOPHAGUS. for two or three hours, the applications being repeated on alternate daysfor about ten applications. If excessive local reaction or general tox-emia result the treatment should be interrupted for a few weeks. Thesedosages are given with reservations. The future may determine them tobe too large or too small. Mr. ^Valt
Peroral endoscopy and laryngeal surgery . 399.—Radium capsule in place in a case of esophageal cancer. The esoph-agoscopc, screened with hard ruhber, is kept in situ to watch the position of thecapsule until certain it will not shift. 458 MALIGNANT DISEASE OF THE ESOPHAGUS. for two or three hours, the applications being repeated on alternate daysfor about ten applications. If excessive local reaction or general tox-emia result the treatment should be interrupted for a few weeks. Thesedosages are given with reservations. The future may determine them tobe too large or too small. Mr. ^Valter G. Howarth has been getting ex-cellent results from the use of 100 mgm. kept in situ by means of a wire. Fig, 400.—Radium container in situ in a case of esophageal malignancy,stout braided silk cord is attached to the eye but does not show. brought out through the mouth, for a (leriod of eight hours and has re-peated the application twice or three times at inter\als of a few reaction. The first effect noted is not usually seen until aftera few applications. Then the perimalignant inflammatory zone is seento have disappeared. The lumen through the growth increases in sizeand fungations diminish. If the dosage is excessive or if not wellscreened, inflammation with sloughing, and with exfoliation of epitheliumfrom the normal mucosa mav be noted. MALKiNANl : Ol T H K i:SOI11AGUS. 459
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
