The practice of surgery . EIGN BODIES IN THE ESOPHAGUS Regarding foreign bodies in the esophagus, an abundance has beenwritten. Yet the subject is simple. It has attracted a multitude 124 THE ABDOMEN of writers, because foroif2;n bodies in the esophagus are a commonplaceof practice. All sorts of objects, from coins and fish-bones to opensafety-pins and plates of false teeth, have lodged in the they lodge and stick, they make trouble. D. \\. Cheever, oneof the first of American surg(>ons to perform esoijhagotomy, delivereda famous lecture on thit^ tojjic. Foreign bodies make t
The practice of surgery . EIGN BODIES IN THE ESOPHAGUS Regarding foreign bodies in the esophagus, an abundance has beenwritten. Yet the subject is simple. It has attracted a multitude 124 THE ABDOMEN of writers, because foroif2;n bodies in the esophagus are a commonplaceof practice. All sorts of objects, from coins and fish-bones to opensafety-pins and plates of false teeth, have lodged in the they lodge and stick, they make trouble. D. \\. Cheever, oneof the first of American surg(>ons to perform esoijhagotomy, delivereda famous lecture on thit^ tojjic. Foreign bodies make trouble becausethey obstruct the passage of food, primarily, and because they damageseriously the esophagus, secondaril3^ They damage the esophaguseither by wounding it sharply, rarely by passing through it, or by settingup an ulcerative process, leading, if unrelieved, to extensive and alarm-ing inflammation. The student must remember that most foreignbodies lodge commonly at one of the points of physiologic constriction,. Fig. .59.—Esophageal instniments: a, h, Forceps; c, horsehair probang; (/, coin-catcher; e, esophageal bougie. but small sharp articles, like fish-bones, catch in the tonsils any case foreign bodies should be removed as soon as possible. As to treatment, there are obviously three methods of extractingforeign bodies; through the mouth, through the stomach, and throughthe neck by esophagotomy. A great many substances may be pulledup or pushed down by proper instruments introduced through themouth—bougies, coin-catchers, the umbrella probang; though onemust remember that these measures are not altogether devoid of danger,as coin-catchers have been known to stick or break off in the this reason it is well, if possible, to obtain a sight of the foreignbody with the esophagoscope or the .r-ray. M. H. Richardson, in1886, was the first to demonstrate the feasibility of remo^•ing foreign TUMORS OF THE ESOPHAGUS 125 bodies through the stomac
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
