Further improvements in the treatment of malignant stricture of the oesophagus / by Charters J. Symonds.
- Symonds, Charters James, 1852-1932.
- Date:
- [1889]
Licence: Public Domain Mark
Credit: Further improvements in the treatment of malignant stricture of the oesophagus / by Charters J. Symonds. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
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![a long mbl>er tnbe *nch as I have descriljed in this paper, through which the patient was fed. He, njoreover, said that she never ha<l any diffirultfi in swallowing up to Jan. 3rd. “ The tubes,” he added, “ had certainly given her eight or nine months of life in a state of comparative comfort, which was more than c<juhl have l»een exj>ected in a case hoja*h“ss from the first.” On Feh. 1st the patient die<l. She wore the long tul>e for two or three weeks, Imt sufl'er»l much from sickness, due partly to the tube. After iU» removal, which became necessary liefore death, she was still sick on the slight<?st movement, and hatl to Ijc fed by enemata. l>r. Kntcliffe, in writing of the case, says : “ There is no doubt your tulles prolonge<l her life some eleven months, nine of whieh were passe<i in very tolerable comfort, and at last I think her death was cause<l more by the constitutional effect of the growth than by the want of nourishment; in fact, she was kept alive as far as in the nature of the case was {mssible.” Total duration of case, eighteen months; before tubage, seven months; after tulwige, eleven numtha ('a.**E 9. Ktrieture; xirn months' iuhngt,-^ Mr. V , ageil forty-three, was sent by Mr. Kdgar Duke, of Ht. Leonards, on May 10th, 1888. He ha*l dyspiiagia for solids since November, 1887 (six months), and was restricte*! to fluids for six weeks. He had total oljstmeiion a week previously to l>eing seen, and again a few days after* wards. On May 10th a bougie was passe<l, detecting a stricture eleven inches from the teeth. He was an un- healthy-hmking man, but bml no other eomplaint. He w'as unable to swallow even thuds. On the 13th a No. 10 short tul« was inserted, through which be swallowed freelv. Four days later he came with the tu1)e hlocke<l, and, on removing it, a piece of almond wa-s found obstructing the funnel. On the 24th a No. 14 was inserted, and he re- turned to St. Lermard-s, On June 23rd he again came to the hos]iital, looking much letter. The tnl>e was acting well. He complained of pain in the cl.est. On July 19th](https://iiif.wellcomecollection.org/image/b22309068_0025.jp2/full/800%2C/0/default.jpg)
