At Gullet Punching Mark Contrast Substance For Its

At gullet punching mark contrast substance for its contours, presence emphysemas, at development of fistulas - contrast hit in a tree. The big diagnostic value has , specifying character of a foreign matter and its arrangement. Treatment: at suspicion on a foreign matter of a gullet of the patient it is necessary to direct to a surgical - hospital at any time-. Removal of foreign matters of a gullet make under a narcosis with application by means of rigid and a set special . At impossibility to remove a foreign matter through operation which consists in , foreign matter removal, gullet walls is shown. Even at long asymptomatic stay of a foreign matter in a gullet patients should recommend persistently its removal, because of possibility of development of heavy complications. CHEMICAL BURNS AND CICATRICIAL NARROWINGS OF THE GULLET Chemical burns of a gullet. The damages of a gullet caused - by reception of acids (more often acetic acid) or alkalis (more often liquid ammonia, soda), are called as toxic .

At It Is Possible To Find Out "serpentine"

At it is possible to find out "serpentine" expansion of veins seed -. The expanded veins are easily fallen down at pressing on them or at a raising up. Attention! can arise at a tumour of the bottom pole of a kidney veins. That is why patients with should investigate kidneys. Treatment: the surgical. An operation overall objective apropos hernias - a plasticity the channel. Operation spend on stages. The first stage - access to to the channel, in areas a slanting cut in parallel to a sheaf and above from it on 2 sm, from bones to . A section an external slanting muscle of a stomach on a course of fibres. The top rag separate from internal slanting and cross-section muscles. The bottom rag separate from - seed , baring thus a trench sheaves to - . The second stage - allocation and removal of a hernial bag. The - third stage - deep rings till the normal sizes (in diameter 0,6 - 0,8 sm). If deep the ring is not taken in, there are anatomic preconditions for occurrence of relapse of a hernia! At slanting to a hernia deep the ring - is always expanded.

The Endoskopicheekaja Picture Depends On Duration Of Disease.

The endoskopicheekaja picture depends on duration of disease. In an onset of the illness the - gullet is expanded slightly, in process of disease progressing its gleam more and more extends and at some patients - becomes . The mucous membrane has - inflammation signs-: folds , arteries and veins are expanded, quite often visible sites , erosion, , . As a rule, the end manages to be spent through the narrowed site that confirms mainly functional - character of changes in a gullet. The mucous membrane in a narrowing place is not changed more often. Ezofagotonokimografichesky research - the main method of early diagnostics a gullet as infringements - abilities of a gullet and physiological arise considerably before clinical symptoms of disease-. Research spend by means of a special multichannel - probe with rubber or "opened" -, registering reductions of a gullet and change in-pishchevodnogo pressure. In norm after swallowing on a gullet the - wave extends , during this moment - pressure opens also decreases.

Pathological Anatomy: Ulcers Are Localised In Belly Department

Pathological anatomy: ulcers are localised in belly department of a gullet directly over or a - little above. They usually single, but can be and - plural, having the same stage of development. Their diameter does not exceed 0,5 - 1 sm, but there are ulcers of the big sizes. The form of ulcers more often roundish or slightly oval. The mucous membrane - round an ulcer is inflamed, ulcer edge , the bottom is covered by serovato-yellow touch which easily acts in film. The - gullet gleam - at ulcer level is narrowed owing to an inflammatory hypostasis - of a mucous membrane and cicatricial deformation. Ulcer healing - is accompanied by even more considerable narrowing of a gleam of a gullet. In ulcer edges can occur (Barret's ulcer), at some patients is marked - simultaneous longitudinal a gullet (Barret's syndrome) At 8 - 10 % of these patients against an ulcer develop a cancer. Clinic and diagnostics: the most frequent symptom - a pain behind a breast or in areas, can in a back, in heart area.

The Small Branch Which Goes To The Left

The small branch which goes to the left behind a gullet to a stomach in the field of coal of Gisa ("a criminal" nerve of Grassi) sometimes can depart from the right trunk of a wandering nerve. It matters in an aetiology - of recurrent ulcers after if remained not crossed. Beginning from level , the thin branches going along small blood vessels to small curvature of a stomach depart from the main trunks. Each trunk of a wandering nerve comes to an end according to a forward and back branch of Latarzhe. Functional - anatomy of a mucous membrane - of a stomach. In all departments of a stomach a mucous membrane surface tsilindricheski-. cages. They allocate "visible - slime" - a viscous liquid consistences. This liquid in the form of a film densely covers all surface - of a mucous membrane. Slime facilitates food passage, protects a - mucous membrane from mechanical and chemical damages. A slime film, superficial - are the protective barriers - protecting a mucous membrane from self-digestion by gastric juice.

On A Share Of Other Its Malignant Defeats

On a share of other its malignant defeats (the sarcoma, , - malignant and ) is necessary nearby 1 %. Among all malignant diseases the gullet cancer is in the USSR on the sixth-seventh place. Disease - develops at the age of 50 more often - - 60 years Aged till 60 years fall ill men is more often, and in more senior age group - women Death rate from a gullet cancer takes the third place after a cancer of a stomach and a lung cancer. Disease of a gullet cancer in different areas of the world In territory of the USSR high disease is marked in Turkmenia, Kazakhstan, Uzbekistan. - It is possible to explain non-uniformity of disease - of an originality of a food of the population (food structure, various impurity to it, features of preparation), and also - geologo-mineralogical features of soil and water. Aetiology and : in development of a cancer of a gullet the big role is played by a chronic inflammation of a mucous membrane because of mechanical, thermal or chemical irritation-. a gullet mucous membrane in badly chewed - food weights, the food containing small stones, very hot fat food, and also the excessive use of hot spices and alcohol, smoking can promote - occurrence chronic nonspecific , being precancer disease.