Peroral endoscopy and laryngeal surgery . emporary condi-tion. In regard to danger to life, the prognosis in cicatricial stenosis ofthe esojjhagus is good if an early ga>trostomy is done and (he feeding 526 DISEASES OF THE ESOPHAGUS. is carefully followed out according to a well planned dietary. The fore-going represents the prognosis of cicatricial stenosis before the develop-ment of endoscopic treatment. Lnder modern methods the prognosis isfavorable as to ultimate results, though some of the cases require a longperiod of treatment, the duration depending upon the number of strictures,the
Peroral endoscopy and laryngeal surgery . emporary condi-tion. In regard to danger to life, the prognosis in cicatricial stenosis ofthe esojjhagus is good if an early ga>trostomy is done and (he feeding 526 DISEASES OF THE ESOPHAGUS. is carefully followed out according to a well planned dietary. The fore-going represents the prognosis of cicatricial stenosis before the develop-ment of endoscopic treatment. Lnder modern methods the prognosis isfavorable as to ultimate results, though some of the cases require a longperiod of treatment, the duration depending upon the number of strictures,the presence or absence of pouches between the strictures and the previ-ous duration of the condition, as well a; upon the tightness of the recent cases where there is but a single stricture or two strictures, thelower one of concentric lumen, the cure is rapid and the results the other hand, in multiple strictures, not concentric, and of long-standing, with extensive tibrotic changes in the esophageal wall, due to. Fig. 417.—Photograph of a child, twenty months old, a victim of cicatricialesophageal stricture. It is in the act of inducing vomiting by the insertion of itsfingers to the fauces, a self-discovered means of relief, quite remarkable, consider-ing the age. Referred by Dr. F. LeMoyne Hupp. prolonged chronic esophagitis, and especially if the lumen of the strictureis exceedingly small—in all such cases, the treatment is ver\- much moredifficult, and though the ultimate prognosis is not unfavorable, the treat-ment will be prolonged by recurrences. As to mortality under endoscopicmethods, the author has never yet lost a case. The only death occurringin his clinic was from blind bouginage before his present endoscopictechnic was developed. Symptoms. Lengthy consideration of the symptoms is not now-necessary, as it was in the days of the often erroneous deductive diag-nosis. If a patient has any trouble in swallowing or regurgitates orvomits his
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