Peroral endoscopy and laryngeal surgery . large number of such objects have been removed from a single stom-ach. All such cases deman<l immediate external operation by a generalsurgeon. In case of such a body as an open safety pin, the author wouldadvise laparotomy by the general surgeon rather than take a chance ofits not perforating in passing through the intestines, because of the com- GASTROSCOPV. 0(7 hiiialion (_)f tliu point and llie sprin^i;. ll is ((uite iiossihlc that it mii;htpass harmlessly, hut on the other hand the risk of perforation is by a fluoroscopist
Peroral endoscopy and laryngeal surgery . large number of such objects have been removed from a single stom-ach. All such cases deman<l immediate external operation by a generalsurgeon. In case of such a body as an open safety pin, the author wouldadvise laparotomy by the general surgeon rather than take a chance ofits not perforating in passing through the intestines, because of the com- GASTROSCOPV. 0(7 hiiialion (_)f tliu point and llie sprin^i;. ll is ((uite iiossihlc that it mii;htpass harmlessly, hut on the other hand the risk of perforation is by a fluoroscopist using the Grier double-plane fluoroscope, thegastroscopic removal of foreign bodies is easy, with the authors gastro-sco])e. ()pen-tuhe gastroscopes (such as the authors esophagoscope Fig. 19)are the only forms available for the removal of foreign bodies. Forcepscannot be used through lens-system gastroscopes. Castroscopv tlvonoli the celiotoniic wound. For this purpose athick short tube should be used. .\ very ingenious speculum for the. Fig. 43O.—A, open tube. B, light carrier to be used during introduction. C,large lamp needed uitli lens system. 11, lens system. K, open tube lor use witlilarge lamp. purpose has been devised by Robert Rendu. It is expansile at its distalend and gives a large visual iield. t/astroscopy. .Alter having obtained all possible datafrom open-tube gastroscoi)y, a lens system may be introduced. TheTanewa) gaslroscf)i)e is shown in Fig. bU!. The introduction of theopen tiilie is bv the authors nicthnd as described in Chapter X. Th^-iithe small lamj) carrier, 11. is withdrawn and the large lamj) carrier, C,is introduced. Next the lens carrier, I), is pushed inside of the hollowlarge lamp carrier. The lens carrier displaces the large lamp sidewise,permitting l\\v window of the lens system to jiroject beyond the distalend of ihc dpen tube. I )xygen from a tank, or air fr(un .a cmiipressiontank (ir liand is then used to distend the
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
