Operative Surgery of the Nose Throat And Ear for Laryngologists Rhinologists
Operative Surgery of the Nose Throat And Ear for Laryngologists Rhinologists
Hanau Wolf Loeb
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It is certainly not unusual in dissecting room bodies. The lower part of the esophagus is the part most often enlarged. The dilatation is due either to an anatomic stricture or to a spastic closure at some point. The forms of stricture have been discussed. Spastic closure, as has been said, is due as a rule to spasm of the hiatus of the esophagus or to spasm of the cardia. Dilatation of the esophagus is spoken of at this point under a separate heading, and after diverticula of the esophagus hav...e been discussed, because tin- two conditions have to be differentiated. The diagnosis is made by examining the lumen of the esophagus through the esophagoscope. In the normal esophagus the walls hug the examining tube and are seen to be continuous with the end of the tube for some distance ahead. If the esophagus is dilated the end of the esophagoscope finds itself in a large, dark cavern the walls of which become clear only as the tube is moved strongly from side to side. The opening of the esophagus below the dilatation may not be in the center of the dilated portion, but eccentric.
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