Lectures on Diseases of the Digestive Organs, Vol. 2: Lectures on Diseases of the Stomach (Classic Reprint) - Hardcover

Ewald, Carl Anton

9780267717231: Lectures on Diseases of the Digestive Organs, Vol. 2: Lectures on Diseases of the Stomach (Classic Reprint)

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ISBN 10: 0267717237 ISBN 13: 9780267717231

Publisher: Forgotten Books, 2019

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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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