Peroral endoscopy and laryngeal surgery . centric stricture about 1 cm. lower downwas similarly di\ulsed and bouginage per tubam com])lete(l the seances were reciuired to restore normal swallowing (Fig. 419).The gastrostomy tube was abandoned. Xo anesthesia was used for thetreatment. The child now, otie year later, is ,ible iirom|>tI\- to swallowany normally food. 536 DISEASES OF THE ESOPHAGUS. Remarks. The statement of the parents that tlie child had swallowedno water for eight days is probably inaccurate. Some little fluid musthave leaked through the stricture or the
Peroral endoscopy and laryngeal surgery . centric stricture about 1 cm. lower downwas similarly di\ulsed and bouginage per tubam com])lete(l the seances were reciuired to restore normal swallowing (Fig. 419).The gastrostomy tube was abandoned. Xo anesthesia was used for thetreatment. The child now, otie year later, is ,ible iirom|>tI\- to swallowany normally food. 536 DISEASES OF THE ESOPHAGUS. Remarks. The statement of the parents that tlie child had swallowedno water for eight days is probably inaccurate. Some little fluid musthave leaked through the stricture or the child could not have survived. A girl of two years was referred to the author by Dr. Abraham ofNew York City for inability to s^vallow which came on a few weeksafter swallowing a solution of a washing powder. A general surgeonfailed to pass a bougie under chloroform anesthesia. Esophagoscopy by theauthor revealed a tight stricture (1 mm. diameter) at about the crossingof the left bronchus. A double olive bougie could be felt to engage in. Fig. 421.—Same patient as in Kiy. 420. Two years later. two Strictures below, making three strictures in all. Bouginage per tubamin about fourteen treatments cured the child completely. She swallowsfood the same as any child. Now, five years later (seven years of age)she can swallow a silk-woven bougie, 12 mm. diameter, without theslightest check to indicate where the stenosis had been. A boy, four years of age, was referred by Dr. H. T. Price for in-ability to swallow. Immediate gastrostomy by Dr. R. E. Brennemansaved the childs life. Esophagoscopy by the author revealed a strictureJ mm. in diameter. The smallest double olive bougie would jjass throughbut was stopped by occlusion below. Bending the stem between the twoolives, enabled the author by rotation to find the lumen of the stricture DISEASES OK THE ESOPHAGUS. 537 below, wlicii a third obstruction was found (Schema lig. 418). Allthree eccentric strictures were treated by the authors
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
