. Anatomy, descriptive and applied. Anatomy. 1240 THE ORGANS OF DIGESTION gotomy is performed. If the foreign body is lodged in the lower one-third of the gullet, the stomach is opened (gastrotomy) and the foreign body is extracted. If the foreign body is allowed to remain lodged in the oesophagus, extensive inflammation and ulceration may ensue. In one case the foreign body ultimately penetrated the intervertebral substance, and destroyed life by inflammation of the membranes and substance of the spinal cord. The operation of cesophagotomy is thus performed: The patient being placed upon his
. Anatomy, descriptive and applied. Anatomy. 1240 THE ORGANS OF DIGESTION gotomy is performed. If the foreign body is lodged in the lower one-third of the gullet, the stomach is opened (gastrotomy) and the foreign body is extracted. If the foreign body is allowed to remain lodged in the oesophagus, extensive inflammation and ulceration may ensue. In one case the foreign body ultimately penetrated the intervertebral substance, and destroyed life by inflammation of the membranes and substance of the spinal cord. The operation of cesophagotomy is thus performed: The patient being placed upon his back, with the head and shoulders slightly elevated, an incision, aljout four inches in length, should be made on the left side of the trachea, from the thyroid cartilage downward, dividing the skin, Platysma, and deep fascia. The edges of the wound being separated, the Omohyoid muscle should, if necessary, be divided, and the fibres of the Sternohyoid and Sternothyroid muscles drawn inward; the sheath of the carotid vessels, being exposed, must be drawn outward, and retained in that position by retractors; the cesophagus will now be exposed, and should be divided over the foreign body, which can then be removed. Great care is necessary to avoid wounding the thyroid vessels, the thyroid gland, and the laryngeal nerves. The oesophagus may be obstructed not only by foreign bodies, but also by changes in its coats, producing siridure, or by pressure on it from without of new growths or aneurisms, etc. The different forms of stricture are: (1) the spasmodic, occurring in neurotic individuals, and intermittent in character, so that the dysphagia is not constant. Spasmodic stricture of the oesophagus sometimes occurs incases of cancer of the stomach and cancer of the liver; (2) fibrous, due to cicatrization after injuries, such as swallowing corrosive fluids or boiling water; and (3) maligtiant, usually epitheliomatous in its nature. Cancer is most common either at the upper end of t
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanatomy, bookyear1913
