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ESOPHAGOSCOPY (ABOUT PRACTICAL TECHNIQUE) Mitsuo Endo 1 1Gastroenterologic Hospital, Tokyo Womens Medical College. pp.1029-1039
Published Date 1968/7/25
DOI https://doi.org/10.11477/mf.1403110836
  • Abstract
  • Look Inside

 Esophagoscopy has been developed remarkably since Kussmaul had clone his first inspection of inside of esohagus about 100 years ago. Esophagoscope was made of straight steel tube until recently. It was very dilficult to performe esophagoscopy and this was special technique. Hirschowitz deviced gastoroduodenal fiberscope in 1957, and this new device was applied to esophagoscope, too. In our country, new fiber esophagoscopes were developed by Olympus Optical Company and Machida Company. It is easy to insert new fiberscope and patients' pain is less. By these new fiber scope, the parts of esophagus where hard scope could not see, are able to be seen nowadays. LoPresti's fiber esophagoscope, F. E. S. by Machida Co. and E. F. by Olympus Co. were shown and explanation of the mechanism and how to use were explained. It is necessary to take X-ray photographs of chest and esophagus before the examination. It is also necessary to know whether the patient has heart disease, aneurysm, and anomaly of esophagus. It is the contra indication for hard esophagoscope to do the examination for aneurysm, acute corrosive esophagitis, varix just after the bleeding, tumor of thyroid gland and high grade scoriosis. Even by fiber scope, it is necessary to do the examination with maximum care to these diseases. Five to six hours abstinence from food is necessary before the examination.

 Injection for the restriction of excreation and of sedative are administered 30 min. before the examination. Local surface anesthesia is applied to the throat. Usually, examination is performed in the dorsal position but it is possible to do in side or sitting position. The main point and necessary precautions for the insertion were mentioned. Then, how to inspect esophagus was described. Real aspect of the diseases were described. These were esophageal and cardiac cancers, achalasea, varix, anastomosing part between esophagus and stomach or jejunum and the rest stomach after the operation. Method of biopsy was also mentioned. Finally, complications of the examination and its prevention were rles described.


Copyright © 1968, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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