Oesophagus Treatment

The oesophagus is a muscular tube. It connects your mouth to your stomach. When you swallow food…

FOREIGN BODY OESOPHAGUS
  • Tonsil: Usually sharp fish bones, needles, etc.
  • The base of tongue: Fish bone or needles.
  • Pyriform fossa: Fish bone, chicken bone, needle, or dentures are commonly seen.
  • Oesophagus: Coins, piece of meat, chicken bones, denture, safety pin, marble, etc.
Symptoms:
  • History of choking.
  • Discomfort or pain just above the clavicle.
  • Dysphagia (difficulty in swallowing).
  • Drooling of saliva.
  • Respiratory distress, dyspnea, cough, and wheezing. These symptoms are due to compression, overflow, or fistulous communication with the air passages.
  • Substernal or epigastric pain.
RIGID OESOPHAGOSCOPY, INDICATIONS AND COMPLICATIONS
Indications:
  • Rigid oesophagoscopy is indicated to inspect and obtain biopsies from lesions within the oesophagus.
  • Dysphagia is the cardinal symptom investigated by rigid endoscopy.
  • Foreign bodies lodged in the oesophagus can be removed by rigid oesophagoscopy.
  • Oesophagoscopy is a part of pan-endoscopic investigation of undiagnosed cervical lymphadenopathy in suspected malignancy.
  • 5. Oesophagoscopy may be therapeutic when combined with dilatation by bougies for strictures or for placement of indwelling tubes.
  • 6. A preliminary oesophagoscopy is done to insert acriflavine gauze in the treatment of pharyngeal pouch.
Complications:
  • Damage to the lips and teeth.
  • Perforation of oesophagus or pharynx: It is the most serious complication. Patient needs to be monitored regularly for development of surgical emphysema within the neck, severe pain, breathlessness and intra-abdominal pain.
  • Perforation of the lower end may result in a clinical picture of an acute abdominal emergency.
  • Hematoma of posterior pharyngeal wall.
  • Failure to obtain appropriate biopsy.
CAUSES OF DYSPHAGIA

Dysphagia means difficulty in swallowing. The term odynophagia is used for painful swallowing.

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Investigation:
  • History with suggestive pathology
  • Clinical examination.
  • Blood examination
  • Radiography
  • Manometric and pH studies
  • Oesophagoscopy

Our Speciality

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FOREIGN BODY OESOPHAGUS

FOREIGN BODY OESOPHAGUS

The oesophagus is a muscular tube. It connects your mouth to your stomach.

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RIGID OESOPHAGOSCOPY, INDICATIONS AND COMPLICATIONS

RIGID OESOPHAGOSCOPY, INDICATIONS AND COMPLICATIONS

Rigid oesophagoscopy is indicated to inspect and obtain biopsies from lesions within the oesophagus.

Details
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CAUSES OF DYSPHAGIA

CAUSES OF DYSPHAGIA

Dysphagia means difficulty in swallowing. The term odynophagia is used for painful swallowing.

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OESOPHAGEAL STRICTURES

OESOPHAGEAL STRICTURES

An esophageal stricture occurs when the esophagus becomes abnormally narrow.

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CARDIOSPASM

CARDIOSPASM

Definition: Failure of the lower oesophageal sphincter to relax resulting in dilatation and hypertrophy of oesophagus without any demonstrable obstructive lesion.

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