Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Bronchoesophagology

Bronchoesophagology Abstract PRECISE localization of an H-type tracheoesophageal fistula in infants is often difficult even with cine-esophagography.9 When simpler means are insufficient, endoscopic catheterization using the forward-viewing cystoscope has been successful. The telescopic lens system at the tip of the catheter can be used to explore suspicious areas on the posterior tracheal wall, and an ureteral catheter can be passed through even a tiny fistula into the distal esophagus. Bronchial collapse during expiration in emphysematous patients, commonly observed bronchoscopically, has now been demonstrated to be due solely to the high intrapulmonary pressure built up during expiration.15 The high pressures develop because of the need to expel the previously inhaled air by muscle contractions. In normal individuals with unimpaired intrinsic elasticity of the pulmonary tissue, the intrathoracic pressure during expiration remains slightly below or just at the atmospheric level. In emphysema the intrathoracic pressure becomes positive, sometimes markedly so. Another References 1. Adams, H. D.: Esophageal Amyenteric Achalasia , Surg Gynec Obstet 119:251 ( (Aug) ) 1964. 2. Blank, E., and Michael, T. D.: Muscular Hypertrophy of Esophagus , Pediatrics 32:595 ( (Oct) ) 1963. 3. Campbell, A. H., and Young, I. F.: Tracheobronchial Collapse: Variant of Obstructive Respiratory Disease , Brit J Dis Chest 57:174 ( (Oct) ) 1963.Crossref 4. Feofilov, G. L.: On Bronchoscopy Through Intubation Tube , Khirurgiya (Moskva) 38:134, ( (Oct 5) ) 1962. 5. Garmada, L.: Removal of Foreign Bodies from Bronchi , Otolaryng Pol 2:197-200, 1963. 6. Greenough, W. G.: Congenital Esophageal Strictures , Amer J Roentgen 92:994 ( (Nov) ) 1964. 7. Heermann, H.: Dilatation of Constrictor Pharyngis Inferior With Aid of Stark's Dilator Before Splitting of Esophageal Threshold in Patients With Zenker's (Pulsion) Diverticulum , Z Laryng Rhinol Otol 42:376 ( (May) ) 1963. 8. Katz, D., et al: Early Endoscopic Diagnosis of Acute Gastrointestinal Hemorrhage , JAMA 188:405, ( (May 4) ) 1964. 9. Killen, D. A.: Endoscopic Catheterization of H-Type Tracheoesophageal Fistula , Surgery 55:317 ( (Feb) ) 1964. 10. Koetzel, K.; Bueno, C.; and deQueiroz, R.: Involvement of Tracheobronchial Tree in South American Blastomycosis , Dis Chest 44:368 ( (Oct) ) 1963.Crossref 11. Lipson, R.; Baldes, E. J.; and Olsen, A. M.: Further Evaluation of Use of Hematoporphyrin Derivative as New Aid for Endoscopic Detection of Malignant Disease , Dis Chest 46:676 ( (Dec) ) 1964.Crossref 12. Mikkelson, W. J.: Varices of Upper Esophagus in Superior Vena Caval Obstruction , Radiology 81:945 ( (Dec) ) 1963.Crossref 13. Palmer, E. D.: New Carcinoma in Postgastrectomy Stomach , Bull Gastroint Endosc 9:19-22, 1963. 14. Pirodda, E.: Extraction of Foreign Bodies from Bronchial Tree , Otorinolaring Ital 31:3 ( (Feb) ) 1962. 15. Restrepo, G. L., and Heard, B. E.: Bronchial Cartilage in Chronic Bronchitis and Emphysema , Amer Rev Resp Dis 90:395 ( (Sept) ) 1964. 16. Versteegh, R. M., and Swierenga, J.: Bronchoscopic Evaluation of Operability of Pulmonary Carcinoma , Acta Otolaryng 56:603 ( (Aug) ) 1963.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Loading next page...
 
/lp/american-medical-association/bronchoesophagology-mAeKX0hqdQ
Publisher
American Medical Association
Copyright
Copyright © 1965 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1965.00760010085021
Publisher site
See Article on Publisher Site

Abstract

Abstract PRECISE localization of an H-type tracheoesophageal fistula in infants is often difficult even with cine-esophagography.9 When simpler means are insufficient, endoscopic catheterization using the forward-viewing cystoscope has been successful. The telescopic lens system at the tip of the catheter can be used to explore suspicious areas on the posterior tracheal wall, and an ureteral catheter can be passed through even a tiny fistula into the distal esophagus. Bronchial collapse during expiration in emphysematous patients, commonly observed bronchoscopically, has now been demonstrated to be due solely to the high intrapulmonary pressure built up during expiration.15 The high pressures develop because of the need to expel the previously inhaled air by muscle contractions. In normal individuals with unimpaired intrinsic elasticity of the pulmonary tissue, the intrathoracic pressure during expiration remains slightly below or just at the atmospheric level. In emphysema the intrathoracic pressure becomes positive, sometimes markedly so. Another References 1. Adams, H. D.: Esophageal Amyenteric Achalasia , Surg Gynec Obstet 119:251 ( (Aug) ) 1964. 2. Blank, E., and Michael, T. D.: Muscular Hypertrophy of Esophagus , Pediatrics 32:595 ( (Oct) ) 1963. 3. Campbell, A. H., and Young, I. F.: Tracheobronchial Collapse: Variant of Obstructive Respiratory Disease , Brit J Dis Chest 57:174 ( (Oct) ) 1963.Crossref 4. Feofilov, G. L.: On Bronchoscopy Through Intubation Tube , Khirurgiya (Moskva) 38:134, ( (Oct 5) ) 1962. 5. Garmada, L.: Removal of Foreign Bodies from Bronchi , Otolaryng Pol 2:197-200, 1963. 6. Greenough, W. G.: Congenital Esophageal Strictures , Amer J Roentgen 92:994 ( (Nov) ) 1964. 7. Heermann, H.: Dilatation of Constrictor Pharyngis Inferior With Aid of Stark's Dilator Before Splitting of Esophageal Threshold in Patients With Zenker's (Pulsion) Diverticulum , Z Laryng Rhinol Otol 42:376 ( (May) ) 1963. 8. Katz, D., et al: Early Endoscopic Diagnosis of Acute Gastrointestinal Hemorrhage , JAMA 188:405, ( (May 4) ) 1964. 9. Killen, D. A.: Endoscopic Catheterization of H-Type Tracheoesophageal Fistula , Surgery 55:317 ( (Feb) ) 1964. 10. Koetzel, K.; Bueno, C.; and deQueiroz, R.: Involvement of Tracheobronchial Tree in South American Blastomycosis , Dis Chest 44:368 ( (Oct) ) 1963.Crossref 11. Lipson, R.; Baldes, E. J.; and Olsen, A. M.: Further Evaluation of Use of Hematoporphyrin Derivative as New Aid for Endoscopic Detection of Malignant Disease , Dis Chest 46:676 ( (Dec) ) 1964.Crossref 12. Mikkelson, W. J.: Varices of Upper Esophagus in Superior Vena Caval Obstruction , Radiology 81:945 ( (Dec) ) 1963.Crossref 13. Palmer, E. D.: New Carcinoma in Postgastrectomy Stomach , Bull Gastroint Endosc 9:19-22, 1963. 14. Pirodda, E.: Extraction of Foreign Bodies from Bronchial Tree , Otorinolaring Ital 31:3 ( (Feb) ) 1962. 15. Restrepo, G. L., and Heard, B. E.: Bronchial Cartilage in Chronic Bronchitis and Emphysema , Amer Rev Resp Dis 90:395 ( (Sept) ) 1964. 16. Versteegh, R. M., and Swierenga, J.: Bronchoscopic Evaluation of Operability of Pulmonary Carcinoma , Acta Otolaryng 56:603 ( (Aug) ) 1963.Crossref

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Jul 1, 1965

References