ENT/Dr. Meenesh Juvekar

Oesophagus Treatment

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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.

Investigation:

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

Our Speciality

FOREIGN BODY OESOPHAGUS

FOREIGN BODY OESOPHAGUS

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

RIGID OESOPHAGOSCOPY, INDICATIONS AND COMPLICATIONS

RIGID OESOPHAGOSCOPY, INDICATIONS AND COMPLICATIONS

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

CAUSES OF DYSPHAGIA

CAUSES OF DYSPHAGIA

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

OESOPHAGEAL STRICTURES

OESOPHAGEAL STRICTURES

An esophageal stricture occurs when the esophagus becomes abnormally narrow.

CARDIOSPASM

CARDIOSPASM

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