Stricture of the Esophagus From Interstitial Thickening of Its Walls

Bücher

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Excerpt from Stricture of the Esophagus From Interstitial Thickening of Its Walls: A Fibroid HypertrophyIn the early part of March she was treated by a physician for this obstruction to deglutition with gum-elastic bougies. There was some improvement in swallowing directly after the use of the bougies, but the Obstruction soon became as great as before, which necessitated daily dilatation of the oesophagus in order that she might take sufficient nutriment to sustain her. In a short time dilatation of the oesophagus was discon tinned, and she was sustained by rectal alimentation. Shortly after this she passed into the hands of another physician, the one who referred her to me.On examining her throat, there was nothing abnormal to be seen about the pharynx, but in the larynx there was a chronic laryngitis, rigidity of the arytaenoid articulations, and almost complete immovability of the vocal bands, which were separated about three millimetres from each other, and afforded sufficient breathing space only when she remained perfectly quiet. The slightest exertion would cause great dyspnoea. On attempting to swallow, substances would drop into her larynx and cause more or less strangling. This was due to the rigidity of the larynx and its inability to close during deglutition.About the PublisherForgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.comThis book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully, any imperfections that remain are intentionally left to preserve the state of such historical works.