Foreign bodies in the oesophagus : with report of cases / by Albert Vander Veer.

  • Vander Veer, A. (Albert), 1841-1929.
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: Foreign bodies in the oesophagus : with report of cases / by Albert Vander Veer. 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.

    12/14 (page 10)
    cluced. By the use of S2irays the swelling was much re- duced, after which the })late was located seven and one-half inches from line of teeth. (Esoiihagotomy was jierformed at the Albany Hosintal June 18, 1S94, and jdate removed. Wound closed with drainage. There was some temjjera- ture, and considerable discharge from the tube, which was offensive for tii-st few day.=. Wound was syringed out with boric acid solution. The discharge gradually lessened, tube was removed, and wound jiartly healed by granulation. Patient was fed jier rectum for first two days, after which she was given milk. Could swallow well but a large amount of the milk came out through the tube. She has remained well since with no .symjitoms of stricture Case XIV. Mr. F. 8., aged 27, December, 1H96, while laughing, accidentally swallowed a jdate containing two teeth. An effort was made by his family physician to re- move the plate with u.’sophageal forceiis but he was not succe.ssful. When brought to the ho.sjiital I did not make any attempt in that direction but advi.sed, and did, an oeso- ])hagotomy at once. The oe.sophagus wasclo.sed with interrujhed sutures but did not hold, and on the third day liquids e.scaped; yet with care, and {jacking with iodoform gauze, it healed nicely by the thirteenth day. Patient made a good recovery. This case illustrates a sim{jle ocso{3hagotomy. Case I, I think illustrates strongly the necessity of the use of the metal, bulbous-{)ointed bougie to locate the foi’eign substance, instead of the olive-{Jointed bougie or the bristle {jrobang. This {joint has been very earnestly dwelt u{jon by Dr. Abbe in a re{Jort of his cases of oeso{jhagotomy, and yet this is a most remarkable case, considering the length of time the {jatient went on without serious symptoms. Case II is strongly im{jressive in that the substance