The Hahnemannian monthly . section, or by way of the bowels, abdomen or breasts, willno doubt prove useful in the future. GASTROSTOMY FOR BENIGN STRICTURE OF THE (ESOPHAGUS. BY H. L. NORTHROP, M. I)., PHILADELPHIA. Although this little patient says ice cream tastes better bythe mouth than it does through her gastric fistula, she isnevertheless thankful that she has an artificial channel leadinginto her stomach, for she is intelligent enough to appreciate thefact that it was the means of saving her life, and that she mustnow depend upon it for further nourishment. She was sent to Hahnemann Hosp
The Hahnemannian monthly . section, or by way of the bowels, abdomen or breasts, willno doubt prove useful in the future. GASTROSTOMY FOR BENIGN STRICTURE OF THE (ESOPHAGUS. BY H. L. NORTHROP, M. I)., PHILADELPHIA. Although this little patient says ice cream tastes better bythe mouth than it does through her gastric fistula, she isnevertheless thankful that she has an artificial channel leadinginto her stomach, for she is intelligent enough to appreciate thefact that it was the means of saving her life, and that she mustnow depend upon it for further nourishment. She was sent to Hahnemann Hospital by Dr. T. L. Chase, on 38 The Hahnemannian Monthly. [January, July 14, 1899, and we were told that she was 8 years of age,and had enjoyed good health until December 17, 1898, when slit*developed scarlet fever and was sick for sixteen weeks. Con-valescence was about complete when, late in March, a lumpappeared in the left side of the neck below the ear. This in-creased in size and looked like a blind boil: did not come. to a head, and poulticing had no effect upon it. The physicianin attendance at the time lanced it, but found no pus. Diffi-culty in swallowing occurred simultaneously with the supposedabscess, and when the latter disappeared total oesophageal ob-struction followed. On July 15th T attempted the passage of bougies, but foundit impossible to even enter the oesophagus, the instruments 1900.] Gastrostomy for Benign Stricture of (Esophagus. 39 stopping at the level of the cricoid cartilage ; the smallest sizeused was 14 F. My finger introduced into the pharynx would not enter theoesophagus, which felt hard, like cicatricial tissue, and seemedto be completely occluded. One ounce of water taken into the pharynx would be regur-gitated in a few minutes, exactly the same quantity as intro-duced. Nutritive enemata had been used for weeks, and thesphincters now refused to retain them. The child at this time was weak and emaciated, and sankinto a pronounced typhoid state.
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