The practice of surgery . Fig. 46.—Von Mikulicz set of instruments for esophagoscopy. STRICTURE OF ESOPHAGUS Stricture is far the most common lesion of the esophagus with whichthe surgeon has to deal, and in exploring for stricture the beginner mustremember that there are 4 normal narrowings in every esophagus—at its beginning, behind the cricoid cartilage, opposite the tracheal. Fig. 47.—Permanent cannula (after von Leyden-Renvers). bifurcation, and at the cardia. Moreover, there are two importantvarieties of stricture—mahgnant and cicatricial—the latter usuallycaused by some corrosive poison
The practice of surgery . Fig. 46.—Von Mikulicz set of instruments for esophagoscopy. STRICTURE OF ESOPHAGUS Stricture is far the most common lesion of the esophagus with whichthe surgeon has to deal, and in exploring for stricture the beginner mustremember that there are 4 normal narrowings in every esophagus—at its beginning, behind the cricoid cartilage, opposite the tracheal. Fig. 47.—Permanent cannula (after von Leyden-Renvers). bifurcation, and at the cardia. Moreover, there are two importantvarieties of stricture—mahgnant and cicatricial—the latter usuallycaused by some corrosive poison. In more general terms these stric-tures are due to the healing of an ulcer—from any traumatism, chronicinflammation, tjTDhoid ulceration, syphiHs, tuberculosis, prolongedvomiting, small-pox, or gout. A common seat of stricture is at oneof the normal esophageal narrowings. The stricture may be single 116 THK ABDOMEN or multiple, clci)eiKliiig on the cause. Pressure from without, as bya tumor, may cause constriction, but this is not properly stricture;nor must the surgeon forget that form of dysphagia, or difficulty inswallowing, known as spasmodic stricture, commonl}- of a hystericnature, and freiiuently relieved by the passage of a bougie.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
