At Disintegration And Knots The Macroscopical Picture Differs

At disintegration and knots the macroscopical picture differs from a picture of an ulcer cancer a little. The ulcer type of a cancer of a gullet meets approximately at 30 % of patients. In an initial stage of disease represents a small knot in thickness of a mucous membrane which quickly is exposed . The tumour grows mainly along a gullet, amazing all layers of its wall and extending on surrounding bodies and fabrics. Edges of the formed ulcer dense, the bottom is pruinose is dirty-grayish colour. Tumour early in and the remote lymph nodes. In a wall of a gullet throughout 5 - 6 sm from tumour edge often develop cancer . The infiltrativnaja form of a cancer of a gullet makes about 10 %. The tumour develops in deep layers of a mucous membrane, quickly amazes a layer and extends mainly on a gullet circle. Expanding, the tumour grasps all layers of a wall of a gullet, its gleam. On length the tumour seldom occupies more than 3 - 4 sm, is characterised by plentiful development -, slowly .

At A Congenital Short Gullet And Insufficiency There

At a congenital short gullet and insufficiency there is a reflux-ezofagit, the ulcer, and then a gullet develops , - frequent complication is the pneumonia. The diagnosis congenital anomaly of development of a gullet - establish by means of radiological research at which into a gullet gleam on thin enter 1 - 2 ml . Research allows to find out the blind end - of a gullet, level of its arrangement, extent and narrowing size, gullet expansion, presence - of the message of a gleam of a gullet with bronchial tubes or a trachea. At gullet doubling mark an additional shade with the accurate contours, adjoining a shade and pushing aside a gullet. At a short gullet it has no bends, and the stomach part is located - above a diaphragm. Insufficiency is shown zheludochno-pishchevodnym by a reflux of contrast substance during research. The big role in diagnostics of developmental anomalies - of a gullet play ezofago - and . Treatment: features of surgical treatment a - gullet are defined by its kind.

Apply : Allocate From Surrounding Fabrics To A

Apply : allocate from surrounding fabrics to a neck, make , it and take in an aperture in a gullet wall. At considerable muscular defect or an atrophy - of muscular fibres of a gullet make plastic restoration of its wall by a rag of a diaphragm, a pleura. apply only at the small sizes . after operation makes 1 - 1,5 %. GOOD-QUALITY TUMOURS AND THE GULLET Good-quality tumours of a gullet and are observed seldom. Pathological anatomy: tumours in relation to a gullet wall can be and . On a histologic - structure of a tumour divide on ( - polyps, papillomas) and (, , fibromas, , , , , , etc.). Vnutriprosvetnye tumours settle down more often in or gullet department, - in - its bottom two thirds. From good-quality tumours - of a gullet the most frequent kind is , - developing of smooth muscular fibres. The place second for frequency among good-quality - gullet formations occupy (, , ). represent the thin-walled - formations containing a light viscous liquid. The wall consists of a fibrous fabric with an impurity of smooth muscular fibres and a cartilage.