At And Vomitings Probably Hit Of Food Weights

At and vomitings probably hit of food weights in a tree and development of heavy inflammatory pulmonary complications. The clinical - clinical course depends on level of defeat of a gullet. The cancer and cervical departments of a gullet proceeds especially painfully. In the beginning patients complain of sensation of a foreign matter, a scratching, burning in a gullet during meal. Later there are symptoms of pharyngeal insufficiency - frequent -, , attacks . At a cancer gullet department quite often on the first place acts , then there are symptoms of germination - of a tumour in the next bodies and fabrics (roots of lungs, the chest lymphatic channel wandering and sympathetic nerves, a - backbone, etc.). These patients have heavy complications: , traheo - and fistulas, bleedings, a pleurisy, etc. of which they also die. The cancer of the bottom third of gullet is shown often by pains in areas, in the left half of thorax and feigning a stenocardia. The origin of similar pains is connected with germination by a tumour a nerve.

At Carrying Out Of The Differential Diagnosis Of

At carrying out of the differential diagnosis of a cancer of a gullet it is necessary to exclude other diseases accompanied : , cicatricial narrowings after chemical - burns, good-quality stenoses at patients with and gullet ulcers, good-quality tumours, a tuberculosis. The differential diagnosis with see in section "Ahalazija ". For after a burn, a gullet trauma the anamnesis is characteristic-. At radiological research gullet contours - wavy, narrowing extends on the big extent. To patients - it is shown for an exception . Patients with and gullet ulcers in the anamnesis have instructions on presence of a stomach ulcer, a hernia apertures of a diaphragm and other diseases - accompanied by symptoms a reflux-ezofagita. The great value For differential diagnostics has with -. At good-quality gullet tumours accrues very slowly throughout many years. The general condition of patients is not broken. Radiological and - researches specify in absence of changes - of a mucous membrane of a gullet.