Peroral endoscopy and laryngeal surgery . and 212.) truder down into the stomach there to l)e turned as described for safety[lins. The safety pin or rotation forccjjs ( big. :>:>) must be used. Lnderno circumstances should sucii an intruder be pulled upon with the ordi-nary forceps. Extraction of fish hooks from the esophagus. The author has neveryet had to dcrd endoscopically with a fish hook, but there are four nielli- 354 KSOPHACoSCorV l-OR F(1\ BODll-lS. ods by which the mechanical ijroblem can probably be solved. The firstof these is that bv which 1). R. Iaterson removed a fi
Peroral endoscopy and laryngeal surgery . and 212.) truder down into the stomach there to l)e turned as described for safety[lins. The safety pin or rotation forccjjs ( big. :>:>) must be used. Lnderno circumstances should sucii an intruder be pulled upon with the ordi-nary forceps. Extraction of fish hooks from the esophagus. The author has neveryet had to dcrd endoscopically with a fish hook, but there are four nielli- 354 KSOPHACoSCorV l-OR F(1\ BODll-lS. ods by which the mechanical ijroblem can probably be solved. The firstof these is that bv which 1). R. Iaterson removed a fish hook from thele\el of the boily of the fifth dorsal vertebra of a boy aged thirteenyears. The hook had the usual gut leader aljout nine inches in lengthprojecting from the patients mouth. Dr. Paterson passed the esophago-scope over the gut leader and then threaded a bronchoscopic aspiratingtube over the leader so that when passeil down to the level of the hookthe bulhovis extremity of the aspirating tube fitted into the curve of th-^. Fin. 214.—Radiograph by Dr. L. Gregory Cole, (New York), showing safetypin in the esophagus of an infant ageil fourteen months. Passed into the stomach,turned and removed under esophagoscopic guidance. (Authors case). hook which was thus safeguarded and withdrawn. In the event of en-countering a hook that has an eye instead of the gut leader, forcepscould be used to thread a braided silk through the eye and then thedistal end being brought up we would have a double thread coming oiTtthe mouth. Over this double thread the aspirating tube could be passedas was done by Dr. Paterson in his case. In the event of the eye beingtoo large to pass through the as|iirating tube, a similar tube could bereadily constructed for the ptu-posc with a larger lumen, or a flattenedlumen, if necessary. A second method would be to use the pin cuttingforceps. Fig. o-i. These, however, would ;iroIial)l\- not extract the frag-ment, if the barb was buried in the esopha
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
