On cancer of the mouth, tongue, and alimentary tract : their pathology, symptoms, diagnosis, and treatment / by Frederic Bowreman Jessett.

  • Jessett, Frederic B. (Frederic Bowreman)
Date:
1886
Catalogue details

Licence: Public Domain Mark

Credit: On cancer of the mouth, tongue, and alimentary tract : their pathology, symptoms, diagnosis, and treatment / by Frederic Bowreman Jessett. Source: Wellcome Collection.

    170/330 (page 154)
    face of the stricture, thus preventing its further descent in the canal. A case illustrating the use of this form of oesophageal catheter was shown at the Clinical Society on the 23rd January, 1885, where a patient with malignant stricture of the oeso- phagus was exhihited wearing one of them; the tubes also were shown. The patient, a man, aged 40, gave a history of seven weeks' dysphagia before coming under treatment on the 23rd June, 1884. At that time he was unable to swallow, and it was impossible to pass a bougie. He, however, on the day of admission, managed to swallow some milk, and in a few days took fluids freely. The first tube was passed on the 15th July. This was the usual long oesophageal catheter, and pro- jected from the mouth. It proved a source of great discomfort, and had to be removed in thirty-six hours. The long tube pro- duced much laryngeal irritation, and, by plugging the stricture, prevented the descent of the saliva, and gave rise to constant expectoration. The tube brought before the Society by Mr. Symonds was designed to remove these inconveniences, while retaining the advantages of the method of treating oesophageal stricture by permanently wearing a tube. Its length was about six inches; one end expanded into a funnel, having an outside diameter of half to three-quarters of an inch; the other had the same construction as an ordinary catheter. The tube was passed through the stricture, the funnel resting on its upper face, thus preventing its further descent. For removing it, a piece of strong silk was attached, carried out of the mouth, looped over, and fastened behind the ear. These tubes were made of gixm-elastic material. The patient had been wearing the catheters since the 15th July. They had been renewed at various intervals—at first of a week, and later they had been retained a fortnight and three weeks. No difficulty was experienced in removing them, nor did the patient suffer any inconvenience from their presence. The man could swallow fluids freely, and had gained in weight. The advantages