. La rivista americana di roentgoenologia, radioterapia e medicina nucleare . il trattamento di Radium del cancro dell'esofago alcuni casi ha preso sforzi in diversi giorni successivi, e fino a una settimana per realizzare questo infine, attraverso esperienze accumulate gradualmente in quel caso particolare. In nessun caso wasjury fatto. Si deve fare una pausa immaginequello che senza dubbio è accaduto nei vecchi giorni di strumentazione esofagea cieca; non dubitare che molti una perforazione che non è stato riportato in eliterature. il primo caso di carcinomadell'esofago che abbiamo mai visto
1984 x 1259 px | 33,6 x 21,3 cm | 13,2 x 8,4 inches | 150dpi
Altre informazioni:
Questa immagine potrebbe avere delle imperfezioni perché è storica o di reportage.
. The American journal of roentgenology, radium therapy and nuclear medicine . the Radium Treatment of Cancer of the Esophagus certain instances it has taken efforts onseveral successive days, and as long as aweek to accomplish this finally, throughgradually accumulated experience withthat particular case. In no instance wasinjury done. One must pause to imaginewhat doubtless happened in the old daysof blind esophageal Instrumentation; wedoubt not that many a perforationoccurred which was not reported in theliterature. The earliest case of carcinomaof the esophagus that we have ever seen. radium i In. from the tip of the tube, the tip acting as a guide. In 2 cases thecarcinomatous stricture was canalizedwhen there had been absolute obstructionfor more than a week. This was effectedby finding a sort of cleavage point andgradually working the terminal Into it. Incertam strictures, only the proximal portioncan at first be canalized, but It has beenfound that If the radium be left soemplaced. In a few hours. It will graduallywork deeper, either as a result of gentle. Fic. II. Showinf; a characteristic carcinoma of the verylower thoracic and abdominal esophagus, a commonform, diflicult oi canalization on account of thedegree of angulation of the thoracic esophagus.Compare with the following illustration indicatingthe method of canalization by the deflected radiumterminal. as shown by autopsy, was perforated by apractitioner with an ordinary bougie. Modifications of the technique may benecessary to suit the Individual case.Thus, at times the stricture is so narrowthat certain filters must be omitted toeffect canalization. In certain instancesthe applicator must be mounted in a smallcolon tube or large catheter to effectthe canalization of the abdominal esopha-gus on account of its abrupt curve. If ■ • I I I this IS necessary, it is best to anchor the Fig. 12. Showing the marked deflection of the radiumterminal necessary to canalize a given carcinomatousstricture of the
