The pathology and surgical treatment of tumors . of the force must be used in passing the instrument through the of this advice has repeatedly resulted in perforation of theoesophagus and death from immediate and remote complications causedby this accident. The writer has personal knowledge of two such cases :in one the perforation was followed by fatal hemorrhage, in the otherby septic peritonitis. Dilatation of a carcinomatous stricture is contra-indicated, as it not only aggravates the local conditions, but is alsoattended by the risk of perforation. The use
The pathology and surgical treatment of tumors . of the force must be used in passing the instrument through the of this advice has repeatedly resulted in perforation of theoesophagus and death from immediate and remote complications causedby this accident. The writer has personal knowledge of two such cases :in one the perforation was followed by fatal hemorrhage, in the otherby septic peritonitis. Dilatation of a carcinomatous stricture is contra-indicated, as it not only aggravates the local conditions, but is alsoattended by the risk of perforation. The use of clastic tubes is notattended by the danger of perforation, and if the stricture is permeablethey are used to introduce into the stomach liquids and finely-dividedfood suspended in liquids. A small rubber tube inserted into thestomach from one of the can be retained and used for stomach-feeding. As soon as stomach-feeding is impossible even with the aidof elastic oesophageal tubes, a gastrostomy should be performed. This
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectneoplas, bookyear1895
