Treatment: To The Majority Of Patients With Not

Treatment: to the majority of patients with not complicated - a gullet ulcer spend conservative treatment a diet (a table 1, 1, ""), a fractional food, , enveloping, astringents, preparations, - vitamins, sedative therapy To the period clinical - symptoms and ulcer scarring spend physiotherapeutic treatment. All patient recommend to avoid the positions promoting occurrence zheludochno-pishchevodnogo of a reflux. At an ulcer bleeding spend therapy, coagulation - of a bleeding vessel through At presence a gullet good effect give , in the Spring and recommend carrying out of preventive courses of treatment Surgical treatment it is shown in the absence of effect from conservative therapy, in the presence of disease complications (the punching, not stopping plentiful bleeding, - extended , absence of effect from ), a combination of an ulcer of a gullet to insufficiency , a hernia diaphragm apertures, the congenital or got - short gullet in the autumn--. Make on Nissenu in a combination with selective or at rough anatomic changes a resection of a gullet with .

More Than In 50 % Of Cases The

More than in 50 % of cases the foreign matter freely passes on a gullet and through other departments of a gastroenteric path and leaves a natural - way. Sharp foreign matters (needles, nails, the fish and meat bones, etc.) jam in initial department of a gullet, large subjects are late in places of physiological narrowings of a gullet (at level tracheas, over ). The foreign matter delay in a gullet is promoted by its pathological changes (a tumour, good-quality , , etc.), and also a spasm muscles in reply to irritation of a mucous membrane a foreign matter. Clinic and diagnostics: symptoms depend on character - of a foreign matter, level of its delay in a gullet, a damage rate of a wall of a gullet. Patients have sensation of fear, sensation of constraint, pressure or a sore throat, in area poles or behind a breast. These sensations amplify at a saliva, a liquid. A frequent symptom is which is caused not only a foreign matter, but also development of a spasm of muscles of a gullet and an inflammatory hypostasis of its mucous membrane.