Peroral endoscopy and laryngeal surgery . iagnosis confirmed. For the removal of thisspecimen, of course, the esophagoscopic method is the onlv one. The niSKASIv OK TIIK KSOPIIAGUS. 445 specimen should be ample, and should, if possible, include a little of theadjacent normal, though greater care is needed here than elsewhere asto the amount of normal that may be taken. A little of the mucosa issuflicient. The only contraindication to the taking of a specimen is sucha profoundly anemic condition that oozing which mav follow may turnthe balance against llic paliciu. This anemic condi
Peroral endoscopy and laryngeal surgery . iagnosis confirmed. For the removal of thisspecimen, of course, the esophagoscopic method is the onlv one. The niSKASIv OK TIIK KSOPIIAGUS. 445 specimen should be ample, and should, if possible, include a little of theadjacent normal, though greater care is needed here than elsewhere asto the amount of normal that may be taken. A little of the mucosa issuflicient. The only contraindication to the taking of a specimen is sucha profoundly anemic condition that oozing which mav follow may turnthe balance against llic paliciu. This anemic condition is usually onlyfound in diose cases that have been permitted to become moribund fromhunger and thirst from too long delayed gastrostomy. Tn such cases thegastrostomy be done at once and the [latient fed until the specimenmay be taken with safety. Lnfortunately. such patients, especially ifthere have been a few days of water hunger, make exceedingly bad sur-gical subjects, so that the minor ojieration of gastrostomy assumes a. Fk;. 391.—Implantation in the csopluif^us. DiaRrammatic repre-sentation of a coiled up longitudinal section. The primary lesion at upper end ofesophagus is seen at 2; at the lower end :ii 1. Tlic lesions at 4 and 5 arc metastatic,(Sec article hv M. C. Seelig, Bih. 469.) high mortality. Cases of suspected cancer, like c\cry other esophagealcondition, should be examined locally with an cso])hagosco])e before anyattempt is made to |)ass any instrument blin[\- .innoyancc to have anesophagoscopc than to have a sound passed. As for the deter-mining by such a method the length of the tube to be used, which is th
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
