In a previous article in this journal1 I described a simplified procedure for performing esophagoscopy. Since its publication, continued study with this method has resulted in further simplification.
The method as described in the former article consisted briefly of the following steps: After proper preliminary study and cocainization, with the patient in the horizontal position and head properly held, the esophagoscope is introduced in the usual manner to the contracted cricopharyngeus sphincter. A flexible, silk-woven, olive-pointed esophageal bougie (Jackson type, 8 French scale) is then passed down the esophagoscopic lumen to the contracted cricopharyngeus and about 0.5 cm. beyond the distal lip of the esophagoscope. This is repeated once or twice, and as the cricopharyngeus sphincter is felt to relax the bougie is passed 1 or 2 cm. farther down the esophagus. The electrically lighted esophagoscope under full vision is passed gently along the bougie, much as a styletted
MANDELBAUM MJ. AN EASIER METHOD OF INTRODUCING THE ESOPHAGOSCOPE: FURTHER NOTES. Arch Otolaryngol. 1927;5(4):317–320. doi:10.1001/archotol.1927.00600010339003
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: