Titolo: Lectures on Diseases of the Digestive Organs, Vol 2 Lectures on Diseases of the Stomach Classic Reprint
Editore: Forgotten Books
Data di pubblicazione: 2019
Lingua: Inglese
ISBN 10: 133340753X
ISBN 13: 9781333407537
Rilegatura: PAP
Condizione: New
Peso: 705 grammi

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Riassunto

Excerpt from Lectures on Diseases of the Digestive Organs, Vol. 2: Lectures on Diseases of the Stomach

When the stomach tube is to be introduced it is not neces sary, as Oser has already pointed out, either to oil its outer surface or to rub it with vaseline or glycerine. It should be simply dipped in warm water, as the saliva of the patient will lubricate it sufficiently. Ask the patient to Open his mouth, push the tube, which is sufficiently stiff to allow of your doing so, as far back as the posterior wall of the pharynx, and then cause the patient to swallow; the tube, caught by the muscles of deglutition, will then slide without difficulty over the oesophageal opening, which can be easily felt, and, once in the upper part of the oesophagus, by gentle pressure it can be passed quickly into the stomach. In some cases you will feel a certain amount of resistance at the cardia, but this is not usual. By manipulating in this manner you will avoid the unpleasantness, both for operator and patient, of putting your finger into the patient's mouth. The whole proceeding is quite simple, and so little trying in any way that among the numerous patients whom I have examined in the last few years it has seldom happened that I have not been able to pass the tube. With a certain amount of patience on one part, and decision on the other, it can be done even with the most nervous and timid patients.

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