bouginage

Blind esophageal bouginage is highly dangerous, for the lumen of the stricture is usually eccentric and the bougie is therefore apt to perforate the wall rather than find the small opening.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

Invaluable practice in esophagoscopy is found in the treatment of strictures of the esophagus by weekly or biweekly esophagoscopic bouginage.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

_Congenital webs of the larynx_ require incision or excision, or perhaps simply bouginage.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

Congenital stenosis, if not an absolute atresia, yields more readily to esophagoscopic bouginage than cicatricial stenosis.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

No anesthesia, general or local, is used for esophagoscopic bouginage.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

The excellent results from the method described in the foregoing paragraph has relegated laryngostomy to those cases that come in with a severe cicatricial stenosis from an injudicious laryngofissure; and even in these cases cure of the stenosis as well as the papillomata can usually be obtained by endoscopic methods alone, using superficial scalping off of the papillomata with subsequent laryngoscopic bouginage for the stenosis.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

_Esophagoscopic bouginage_ with the author's silk-woven steel-shank endoscopic bougies (Fig. 40) has proven the safest and most successful method of treatment.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

_Internal esophagotomy_ by the string-cutting instruments and esophagotome are relatively dangerous methods, and perhaps yield in the end no quicker results than the slower and safe bouginage per tubam.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

If gastrostomy has been done retrograde bouginage (Fig. 35) may be used.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

_Thermic bouginage_ with electrically heated bougies has been found useful in some cases by Dean and Imperatori.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911