Search results for esophagus
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1877,
00:40,
2008-05-14 23:15:54
Description: MADAME SARKOZY
Anorexia (deriving from the Greek "α(ν)-" (a(n)-, a prefix that denotes absence) + "όρεξη (orexe) = appetite) is the decreased sensation (More) MADAME SARKOZY
Anorexia (deriving from the Greek "α(ν)-" (a(n)-, a prefix that denotes absence) + "όρεξη (orexe) = appetite) is the decreased sensation of appetite. While the term in non-scientific publications is often used interchangeably with one of its causes, anorexia nervosa, there are many possible causes for a decreased appetite, some of which may be harmless while others pose significant risk for the person.
The most common form of anorexia is simply satiation following the consumption of food. This happens in all normal humans and is called postprandial anorexia. Disorders that cause (harmful) anorexia include anorexia nervosa, severe depression, cancer, Crohn's Disease, Ulcerative Colitis, dementia, AIDS, Acute Radiation Syndrome, and chronic renal failure and the use of certain drugs, particularly stimulants and narcotics such as cocaine and heroin. Environmentally induced disorders such as altitude sickness can also trigger an acute form of anorexia. Anorexia may also be seen in congestive heart failure, perhaps due to congestion of the liver with venous blood.
Although the presenting symptom (the one which prompts a patient to seek medical attention) in acute appendicitis is abdominal pain, patients virtually always experience anorexia as well, possibly accompanied by an early episode of vomiting.
Some medications, antidepressants for example, can have anorexia as a side effect. Most notoriously, however, chemicals that are a member of the phenethylamine family are known to have more intense anorectic properties. For this reason, many individuals suffering from anorexia nervosa may seek to use these medications to suppress appetite. Such prescription medications include Ritalin, Adderall, Dexedrine, and Desoxyn. In some cases, these medications are prescribed to patients prior to undergoing an operation requiring general anesthesia. This is a prophylactic measure taken to ensure no food will back up into the esophagus and cause the patient to stop breathing during the procedure.
Anorexia nervosa is a psychiatric diagnosis that describes an eating disorder characterized by low body weight and body image distortion with an obsessive fear of gaining weight. Individuals with anorexia are known to commonly control body weight through the means of voluntary starvation, purging, vomiting, excessive exercise, or other weight control measures, such as diet pills or diuretic drugs. It primarily affects adolescent females, however approximately 10% of people with the diagnosis are male. Anorexia nervosa is a complex condition, involving psychological, neurobiological, and sociological components.[1]
The term anorexia is of Greek origin: a (α, prefix of negation), n (ν, link between two vowels) and orexis (ορεξις, appetite) thus meaning a lack of desire to eat.[2] A person who is diagnosed with anorexia nervosa is most commonly referred to with the adjectival form anorexic. The noun form, "anorectic" is generally not used in this context and usually refers to drugs that suppress appetite.
"Anorexia nervosa" is frequently shortened to "anorexia" in both the popular media and television reports. This is technically incorrect, as the term "anorexia" used separately refers to the medical symptom of reduced appetite (which therefore is distinguishable from anorexia nervosa in being non-psychiatric).
The most commonly used criteria for diagnosing anorexia are from the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) and the World Health Organization's International Statistical Classification of Diseases and Related Health Problems (ICD).
Although biological tests can aid the diagnosis of anorexia, the diagnosis is based on a combination of behavior, reported beliefs and experiences, and physical characteristics of the patient. Anorexia is typically diagnosed by a clinical psychologist, psychiatrist or other suitably qualified clinician. Notably, diagnostic criteria are intended to assist clinicians, and are not intended to be representative of what an individual sufferer feels or experiences in living with the illness.
The full ICD-10 diagnostic criteria for anorexia nervosa can be found here, and the DSM-IV-TR criteria can be found here.
To be diagnosed as having anorexia nervosa, according to the DSM-IV-TR, a person must display: (Less) Channel: youtube
421,
06:04,
2007-10-20 23:42:50
Description: This is what I had for desert tonight! MMMM! French Vanilla ice cream... and instead of a cherry to top it off I used... well...... you'll see!! :wink:
You can see my ice cream toping sliding (More) This is what I had for desert tonight! MMMM! French Vanilla ice cream... and instead of a cherry to top it off I used... well...... you'll see!! :wink:
You can see my ice cream toping sliding the whole way down my throat ... I leave my mouth open the entire time, not even closing to gulp him down but just washing him down with a little scoop of ice cream after I felt that he was jammed in my esophagus (who knows, he could have been holding on!!) :shock:
This is really long, so there's part one and a part two.
Part one: I tease him in the begining, eat some of my ice cream (scoop very close to him)
Part two: He slides down my wet throat (Less) Channel: youtube
361,
06:04,
2008-04-21 19:31:44
Description: This is what I had for desert tonight! MMMM! French Vanilla ice cream... and instead of a cherry to top it off I used... well...... you'll see!! :wink: You can see my ice cream toping sliding (More) This is what I had for desert tonight! MMMM! French Vanilla ice cream... and instead of a cherry to top it off I used... well...... you'll see!! :wink: You can see my ice cream toping sliding the whole way down my throat ... I leave my mouth open the entire time, not even closing to gulp him down but just washing him down with a little scoop of ice cream after I felt that he was jammed in my esophagus (who knows, he could have been holding on!!) :shock: This is really long, so there's part one and a part two. Part one: I tease him in the begining, eat some of my ice cream (scoop very close to him) Part two: He slides down my wet throat (Less) Channel: youtube
289,
00:00,
2009-08-06 17:04:52
Description: Cumshots galore! Get ready for eighty scenes of pure money shot mayhem! Watch all your favorite girls get an extra large load of jizz straight to the esophagus. There's no messing around with (More) Cumshots galore! Get ready for eighty scenes of pure money shot mayhem! Watch all your favorite girls get an extra large load of jizz straight to the esophagus. There's no messing around with these girls because they're thirsty for cum and they're ready to collect! (Less) Channel: naughtymovies
232,
00:46,
2009-11-09 04:30:57
Description: Something for all the Gretchen vore fans... she picks up and swallows several guys in this clip. I also tried something new which I'm calling "esophagus cam"... showing the little guy (More) Something for all the Gretchen vore fans... she picks up and swallows several guys in this clip. I also tried something new which I'm calling "esophagus cam"... showing the little guy inside her body. I'm not a vore expert, but I'd appreciate any FEED-back on the effect... (Less) Channel: veoh
183,
00:00,
2009-09-26 12:23:51
Description: Well everyone, here is another classic I researched online. If you get a chance, go search Jizz in My Pants on youtube. Adam Sandberg & Justin Timberlake did a remarkable sketch. This video here (More) Well everyone, here is another classic I researched online. If you get a chance, go search Jizz in My Pants on youtube. Adam Sandberg & Justin Timberlake did a remarkable sketch. This video here was a remake of that video. The timing, lyrics, video, music, was done to perfection. I wanted to give full credit to the ladies who conceived this video. Great Job & Thank you - Allen Elfman http://mstaken.com - this is a ladies' response to "Jizz In My Pants" by Lonely Island. we (the pantless knights) got approached by a gal who had an idea for a fake engagement ring to ward off douchebags. We thought the whole thing was hilarious and told her we wanted to make a music video for it. A few months later, here it is and we hope you like it! also, peep our cameos FTW!!! big ups to the girls puking in their mouths! -beau, peter and david http://pantlessknights.com support us and go get the fake engagement ring + douchebag playing cards at http://mstaken.com and here's a link to download the free mp3! http://pantlessknights.com/pukeinmymo... CREDITS: Created by Pantless Knights Produced by Beau Lewis & Peter Furia Camera by Peter Furia Lyrics by Beau Lewis, Peter Furia Vocals by Erika Shumate & Lauren Curtis Beat by Ranidu Starring Michelle Nunes & Kate Siegel LYRICS: Douchebags all across the club / Ladies' night straight poppin the bub Stalker eyes right above his drink / Cheese-d**k style, with a shoot and wink Snatch the ring from its hiding place / Flip the bird right in your face Leave the bar, to escape your glance / Cross the room, now its time to dance You sneak behind, dont mind, I guess / Until your d**g's on my cocktail dress Cold as ice, yet you advance / And say you might, jizz in your pants and I PUKE IN MY MOUTH Swallow it back, I need some room / Plus I said I've got a groom I turn away, you start to pout AND I PUKE IN MY MOUTH You ruined my night, esophagus hurts / Take a hint, Im not here to flirt Round up the girls, its time bounce / Now Ill go brush my teeth I'm 15 late for my Yoga class / Kick through the door, now I'm up in that ass Find a spot, last in the room / Focus, breathe, now its time to ohhhhmmmm Thats when I noticed this guy behind me / Quite a big smell from a guy so tiny Pit-stained T-shirt drenched in sweat / O-face grin, bad as it gets He made a grunt, then his body turned / Saw up his shorts to his inner-thigh perm AND I PUKED IN MY MOUTH Upside-down, so it's even worse / Son of shiva, what a curly curse Help me please, I could use a towel cause I PUKED IN MY MOUTH Why are there dudes up in Yoga class? / Nonchalant, looking at my chest Please stop staring when Im on my knees / Plus bearded men shouldn't wear capris Last week, I was on a site / As I recall, it was a Facebook site In my bed with a piece of toast / Checked my wall and saw your post and I PUKE IN MY MOUTH Soaking in the tub like a f***ing queen / Need to relax, need to feel the steam A bubble comes up that reminds me of you and I PUKE IN MY MOUTH Th (Less) Channel: myspace
104,
00:00,
2009-08-07 23:14:24
Description: Porn Movie: Down Your Throat 4 DVDThis is scene 1 of Down Your Throat 4 from the adult film studio Smash Pictures In this scene....Little sucker, Vanda Vitus uses every inch of her esophagus to get a (More) Porn Movie: Down Your Throat 4 DVDThis is scene 1 of Down Your Throat 4 from the adult film studio Smash Pictures In this scene....Little sucker, Vanda Vitus uses every inch of her esophagus to get a load out of her guy in this one. You might think small girls have a harder time with big cocks but Vanda is the exception as proven by the load all over her tongue. (Less) Channel: naughtymovies
88,
00:14,
2008-04-18 13:41:27
Description: Watch the fluoroscopy (moving x-ray) of a sword swallower swallowing a sword! You can see the sword go down the esophagus, past the heart, between the lungs and down into the stomach! <br (More) Watch the fluoroscopy (moving x-ray) of a sword swallower swallowing a sword! You can see the sword go down the esophagus, past the heart, between the lungs and down into the stomach! <br /><br />This is EXTREMELY DANGEROUS! Do NOT try this at home! (Always do it in a doctor's office under trained medical supervision! :) (Less) Channel: myspace
94,
04:47,
2007-03-16 13:02:18
Description: [Verse 1]
Can you feel the speed comin
The beat's hummin
You need somethin to keep ya knees bucklin
Keep frontin
You'll be thuggin from these huntin on bees
Scummin airin out these (More) [Verse 1]
Can you feel the speed comin
The beat's hummin
You need somethin to keep ya knees bucklin
Keep frontin
You'll be thuggin from these huntin on bees
Scummin airin out these fuckin emcees
Puffin till breeze
Somethin to each one of my words
Is just suddenly stern and it's fun and you learn
Through action not example
That's exactly why I have to smack you
Learn that *smacks* learn it again *smacks* got it now?
Didn't ya know that Tonedeff could flow fast enough to mow Sonic down
Well I'm on it's shot on ya senses
Hoppin the fences could it be the one to get offended
Or else is deaf or the nigga that pretended
To the senses when I run, niggaz sense this
Hell a brother better be servin avenges
It's me either with this set of bentleys
Then in down in left kill left with a horse here
Probably gonna need a veterinary in a relentess
Better get a move one
You harlot you bonness you falls with blue balls
You all really think it end little could just shove in a bill
With you all and pretube all
Naw like cause I done never heard of batman
Scared of thinkin last stan
Walkin in arabs to back dams
Thinkin ya niggaz could get it quicker than a maniac
Cuz bigger than a one chillin miss him like his flash can
Can't stand these motherfuckers that can't rap
Tonedeff could scan this shit while on a sand mass
Fuck a chick and tell her pussycat now
Yall niggaz are pretty confused cause you be chillin with a bat hat
Practice while Stash kick your ass bitch
Ya too average to consider some hash and the task
Cause TV is real and the speed is just feedin me
You fuckers acknowledge the speedy
[Chorus]
Do you feel the need for speed
Indeed ya do we need ya to
Clear the way to speed ya through
Can you feel the velocity just hold tight
Bare witness to what future emcees will flow like
[Verse 2]
You wacker than Ja Rule we fast and furious like Vin Diesel
Ain't penetrates the papyrus my p-izz-eople
Sookie sookie you rookie goodie goodie we been evil
Fuck 101 told them I'll take ten people
Now even up the odds cause you with your friend's people
Style's been played like movies with ten sequels
(Do you love hip hop?)
Does Eminem offend people?
So do we so absolutely nothin's what you showin me
Totally magnificent what you want is insignificant
In the big picture bitch nigga you so sensitive
Gonna squirt some I hurt one or two persons
For the first done you mommy's suckin the girth numb
Beat it up and make her cum
E F@mm makin you nerves run
Wanna get the mic this curtains
If you done like 'em and ya ear's done
Blow me, hold me, hold that
Mouthful of cock sauce and a ballsack
You be eatin till I go wack
That's never homie, know that
[Chorus] - 2X
[Verse 3]
Say what you want but don't ever claim that you want it
Stay in the closet and you'll sustain so much pain that you'll vomit
Silent objects you never swallow like hollow organs
You cough up dried esophagus knot to notches we're the marvelous too
Then I'm part of the crew that came to astonish
The plague is brolic, scrape ya face with abrasive cleanser
Say that we're reigning comet things a promise
You love her for real I just set up the kill
And Substantial latches in that can which set ya head on the hill
That's plenty for the world to see
Everybody wanna get bazigga to the run to get the tour with me
Score with these, they're for ya team ensure your dream
And fuckin up the wizzer with a ball disease
The problem's he's aborn of three
But all I see do you breathe nothing but a corpse, see?
You be lookin for a ride and the reason you dying
in the blink of an eye then they all with me
Hold ya screams in pickin up the flow from the court the king's in
From Newport to Kingston and give you more defeats
And wars than Norman eats complete with more dead soldiers meat
And keep the order straight
Sweepin me is more 'n vague than even orchestry
They raise more pieces of you than your whore's abortion tapes(Oh that's great)
Substantial why you rap so slow?
I got asthma, give me a second *puff* let's see ya fuckin rap faster
I'm stronger, harder, spit quicker, stronger
Even my dick's bigger, longer
In fact it sucks to be you, hoe what can we do?
You're a weaker seeder postal boy
Pussy eatin needs a hug
Cause your pussy you stained cock
I reek of stained twat, my speech is slain hot
We weak? I think not, we lick in pink spots
We drink the slain cops who were crooked
The little crops that got a fuckin ticket
Who spat on my dollars
Then shout at these cowards last jaws
By rippin the rap tours
With a little or no audience
Killed an acapella even flipped into accordions
Not a battle rapper backpacker bitch smacker thug
Just someone you can whoop yo ass
Over rap and show you love
So any further sleeping beneath is not recommended
Will never be fame if you haven't already been refunded
[Chorus] - 5X (Less) Channel: youtube
73,
02:32,
2008-04-22 11:54:55
Description: http://www.tmwmedia.com/teenriskseries.html#Q369DVD
In this program, you will see the struggles teens face with Bulimia Nervosa and Anorexia Nervosa from individuals that have suffered from this (More) http://www.tmwmedia.com/teenriskseries.html#Q369DVD
In this program, you will see the struggles teens face with Bulimia Nervosa and Anorexia Nervosa from individuals that have suffered from this affliction and survived. For reasons that are unclear, some people, mainly young women, develop potentially life-threatening eating disorders called bulimia nervosa and anorexia nervosa. People with bulimia, known as bulimics, indulge in bingeing (episodes of eating large amounts of food) and purging (getting rid of the food by vomiting or using laxatives). People with anorexia, whom doctors sometimes call anorectics, severely limit their food intake. About half of them also have bulimia symptoms. Bulimia is also a very deadly physical illness as intentionally purging causes many debilitating effects including severe tooth erosion, tears of the esophagus, life threatening potassium imbalances and more. More than 20% die form complications relating to their eating disorders. Anorexics similarly are affected by their illnesses in many ways ranging from fatigue and lack of energy, amenorrhea (loss of menstruation), loss of bone mass and even cardiac arrest and death. (Less) Channel: youtube
71,
01:38,
2007-04-15 20:21:19
Description: What is Esophageal Dilation?
Esophageal dilation is a procedure that allows your doctor to dilate, or stretch, a narrowed area of your esophagus [swallowing tube]. Doctors can use various techniques (More) What is Esophageal Dilation?
Esophageal dilation is a procedure that allows your doctor to dilate, or stretch, a narrowed area of your esophagus [swallowing tube]. Doctors can use various techniques for this procedure. Your doctor might perform the procedure as part of a sedated endoscopy. Alternatively, your doctor might apply a local anesthetic spray to the back of your throat and then pass a weighted dilator through your mouth and into your esophagus.
Why is it Done?
The most common cause of narrowing of the esophagus, or stricture, is scarring of the esophagus from reflux of acid occurring in patients with heartburn. Patients with a narrowed portion of the esophagus often have trouble swallowing; food feels like it is "stuck" in the chest region, causing discomfort or pain. Less common causes of esophageal narrowing are webs or rings (which are thin layers of excess tissue), cancer of the esophagus, scarring after radiation treatment or a disorder of the way the esophagus moves [motility disorder].
How Should I Prepare for the Procedure?
An empty stomach allows for the best and safest examination, so you should have nothing to drink, including water, for at least six hours before the examination. Your doctor will tell you when to start fasting.
Tell your doctor in advance about any medications you take, particularly aspirin products or anticoagulants (blood thinners). Most medications can be continued as usual, but you might need to adjust your usual dose before the examination. Your doctor will give you specific guidance. Tell your doctor if you have any allergies to medications as well as medical conditions such as heart or lung disease. Also, tell your doctor if you require antibiotics prior to dental procedures, because you might need antibiotics prior to esophageal dilation as well.
What Can I Expect during Esophageal Dilation?
Your doctor might perform esophageal dilation with sedation along with an upper endoscopy. Your doctor may spray your throat with a local anesthetic spray, and then give you sedatives to help you relax. Your doctor then will pass the endoscope through your mouth and into the esophagus, stomach and duodenum. The endoscope does not interfere with your breathing. At this point your doctor will determine whether to use a dilating balloon or plastic dilators over a guiding wire to stretch your esophagus. You might experience mild pressure in the back of your throat or in your chest during the procedure. Alternatively, your doctor might start by spraying your throat with a local anesthetic. Your doctor will then pass a tapered dilating instrument through your mouth and guide it into the esophagus.
What Can I Expect after Esophageal Dilation?
After the dilation is done, you will probably be observed for a short period of time and then allowed to return to your normal activities. You may resume drinking when the anesthetic no longer causes numbness to your throat, unless your doctor instructs you otherwise. Most patients experience no symptoms after this procedure and can resume eating the next day, but you might experience a mild sore throat for the remainder of the day.
If you received sedatives, you probably will be monitored in a recovery area until you are ready to leave. You will not be allowed to drive after the procedure even though you might not feel tired. You should arrange for someone to accompany you home, because the sedatives might affect your judgment and reflexes for the rest of the day.
What are the Potential Complications of Esophageal Dilation?
Although complications can occur even when the procedure is performed correctly, they are rare when performed by doctors who are specially trained. A perforation, or hole, of the esophagus lining occurs in a small percentage of cases and may require surgery. A tear of the esophagus lining may occur and bleeding may result. Complications from heart or lung diseases are potential risks if sedatives were used. Symptoms of thisdisorder vary and may include difficulty swallowing (dysphagia), painfulswallowing, regurgitation of food and weight loss. Further complications mayalso arise if the stricture is left untreated. Fortunately, esophageal dilation offers potential relief andhealing for those suffering from esophageal stricture, Dr. Julio Murra Saca perform a dilation with hydrostatic Balloon. www.murrasaca.com (Less) Channel: youtube
54,
04:47,
2008-04-22 09:17:21
Description: [Verse 1] Can you feel the speed comin The beat's hummin You need somethin to keep ya knees bucklin Keep frontin You'll be thuggin from these huntin on bees Scummin airin out these fuckin (More) [Verse 1] Can you feel the speed comin The beat's hummin You need somethin to keep ya knees bucklin Keep frontin You'll be thuggin from these huntin on bees Scummin airin out these fuckin emcees Puffin till breeze Somethin to each one of my words Is just suddenly stern and it's fun and you learn Through action not example That's exactly why I have to smack you Learn that *smacks* learn it again *smacks* got it now? Didn't ya know that Tonedeff could flow fast enough to mow Sonic down Well I'm on it's shot on ya senses Hoppin the fences could it be the one to get offended Or else is deaf or the nigga that pretended To the senses when I run, niggaz sense this Hell a brother better be servin avenges It's me either with this set of bentleys Then in down in left kill left with a horse here Probably gonna need a veterinary in a relentess Better get a move one You harlot you bonness you falls with blue balls You all really think it end little could just shove in a bill With you all and pretube all Naw like cause I done never heard of batman Scared of thinkin last stan Walkin in arabs to back dams Thinkin ya niggaz could get it quicker than a maniac Cuz bigger than a one chillin miss him like his flash can Can't stand these motherfuckers that can't rap Tonedeff could scan this shit while on a sand mass Fuck a chick and tell her pussycat now Yall niggaz are pretty confused cause you be chillin with a bat hat Practice while Stash kick your ass bitch Ya too average to consider some hash and the task Cause TV is real and the speed is just feedin me You fuckers acknowledge the speedy [Chorus] Do you feel the need for speed Indeed ya do we need ya to Clear the way to speed ya through Can you feel the velocity just hold tight Bare witness to what future emcees will flow like [Verse 2] You wacker than Ja Rule we fast and furious like Vin Diesel Ain't penetrates the papyrus my p-izz-eople Sookie sookie you rookie goodie goodie we been evil Fuck 101 told them I'll take ten people Now even up the odds cause you with your friend's people Style's been played like movies with ten sequels (Do you love hip hop?) Does Eminem offend people? So do we so absolutely nothin's what you showin me Totally magnificent what you want is insignificant In the big picture bitch nigga you so sensitive Gonna squirt some I hurt one or two persons For the first done you mommy's suckin the girth numb Beat it up and make her cum E F@mm makin you nerves run Wanna get the mic this curtains If you done like 'em and ya ear's done Blow me, hold me, hold that Mouthful of cock sauce and a ballsack You be eatin till I go wack That's never homie, know that [Chorus] - 2X [Verse 3] Say what you want but don't ever claim that you want it Stay in the closet and you'll sustain so much pain that you'll vomit Silent objects you never swallow like hollow organs You cough up dried esophagus knot to notches we're the marvelous too Then I'm part of the crew that came to astonish The plague is brolic, scrape ya face with abrasive cleanser Say that we're reigning comet things a promise You love her for real I just set up the kill And Substantial latches in that can which set ya head on the hill That's plenty for the world to see Everybody wanna get bazigga to the run to get the tour with me Score with these, they're for ya team ensure your dream And fuckin up the wizzer with a ball disease The problem's he's aborn of three But all I see do you breathe nothing but a corpse, see? You be lookin for a ride and the reason you dying in the blink of an eye then they all with me Hold ya screams in pickin up the flow from the court the king's in From Newport to Kingston and give you more defeats And wars than Norman eats complete with more dead soldiers meat And keep the order straight Sweepin me is more 'n vague than even orchestry They raise more pieces of you than your whore's abortion tapes(Oh that's great) Substantial why you rap so slow? I got asthma, give me a second *puff* let's see ya fuckin rap faster I'm stronger, harder, spit quicker, stronger Even my dick's bigger, longer In fact it sucks to be you, hoe what can we do? You're a weaker seeder postal boy Pussy eatin needs a hug Cause your pussy you stained cock I reek of stained twat, my speech is slain hot We weak? I think not, we lick in pink spots We drink the slain cops who were crooked The little crops that got a fuckin ticket Who spat on my dollars Then shout at these cowards last jaws By rippin the rap tours With a little or no audience Killed an acapella even flipped into accordions Not a battle rapper backpacker bitch smacker thug Just someone you can whoop yo ass Over rap and show you love So any further sleeping beneath is not recommended Will never be fame if you haven't already been refunded [Chorus] - 5X (Less) Channel: youtube
44,
02:10,
2008-04-21 21:57:39
Description: The 26-year-old Sydney woman accidentally swallowed a teaspoon during a laughing fit while eating spaghetti. She is understood to have gagged reflexively, but by then it was too late. Doctors were (More) The 26-year-old Sydney woman accidentally swallowed a teaspoon during a laughing fit while eating spaghetti. She is understood to have gagged reflexively, but by then it was too late. Doctors were astonished by what they saw when she arrived at Canterbury Hospital. An X-ray and camera gastroscope revealed the 15cm implement stuck in her throat at the top of her stomach. Numerous doctors examined the images and offered advice on how to remove the spoon - with most recommending surgery. But Dr Bernard Beldholm, an advanced trainee in general surgery, and Dr Alice Lee, a gastroenterologist, wanted to spare her the trauma of an invasive operation. They eventually managed to remove it manually - albeit "with great difficulty''. The woman, who can't be named because of patient confidentiality, was placed under general anaesthetic. In a delicate procedure which took 90 minutes, they eased it out of her throat and mouth. Dr Beldholm and Dr Lee tried several different tactics before successfully using snares to lasso either end of the spoon and pull it upright so it lined up with her esophagus. (Less) Channel: youtube
45,
01:38,
2008-04-22 12:29:36
Description: What is Esophageal Dilation? Esophageal dilation is a procedure that allows your doctor to dilate, or stretch, a narrowed area of your esophagus [swallowing tube]. Doctors can use various techniques (More) What is Esophageal Dilation? Esophageal dilation is a procedure that allows your doctor to dilate, or stretch, a narrowed area of your esophagus [swallowing tube]. Doctors can use various techniques for this procedure. Your doctor might perform the procedure as part of a sedated endoscopy. Alternatively, your doctor might apply a local anesthetic spray to the back of your throat and then pass a weighted dilator through your mouth and into your esophagus. Why is it Done? The most common cause of narrowing of the esophagus, or stricture, is scarring of the esophagus from reflux of acid occurring in patients with heartburn. Patients with a narrowed portion of the esophagus often have trouble swallowing; food feels like it is "stuck" in the chest region, causing discomfort or pain. Less common causes of esophageal narrowing are webs or rings (which are thin layers of excess tissue), cancer of the esophagus, scarring after radiation treatment or a disorder of the way the esophagus moves [motility disorder]. How Should I Prepare for the Procedure? An empty stomach allows for the best and safest examination, so you should have nothing to drink, including water, for at least six hours before the examination. Your doctor will tell you when to start fasting. Tell your doctor in advance about any medications you take, particularly aspirin products or anticoagulants (blood thinners). Most medications can be continued as usual, but you might need to adjust your usual dose before the examination. Your doctor will give you specific guidance. Tell your doctor if you have any allergies to medications as well as medical conditions such as heart or lung disease. Also, tell your doctor if you require antibiotics prior to dental procedures, because you might need antibiotics prior to esophageal dilation as well. What Can I Expect during Esophageal Dilation? Your doctor might perform esophageal dilation with sedation along with an upper endoscopy. Your doctor may spray your throat with a local anesthetic spray, and then give you sedatives to help you relax. Your doctor then will pass the endoscope through your mouth and into the esophagus, stomach and duodenum. The endoscope does not interfere with your breathing. At this point your doctor will determine whether to use a dilating balloon or plastic dilators over a guiding wire to stretch your esophagus. You might experience mild pressure in the back of your throat or in your chest during the procedure. Alternatively, your doctor might start by spraying your throat with a local anesthetic. Your doctor will then pass a tapered dilating instrument through your mouth and guide it into the esophagus. What Can I Expect after Esophageal Dilation? After the dilation is done, you will probably be observed for a short period of time and then allowed to return to your normal activities. You may resume drinking when the anesthetic no longer causes numbness to your throat, unless your doctor instructs you otherwise. Most patients experience no symptoms after this procedure and can resume eating the next day, but you might experience a mild sore throat for the remainder of the day. If you received sedatives, you probably will be monitored in a recovery area until you are ready to leave. You will not be allowed to drive after the procedure even though you might not feel tired. You should arrange for someone to accompany you home, because the sedatives might affect your judgment and reflexes for the rest of the day. What are the Potential Complications of Esophageal Dilation? Although complications can occur even when the procedure is performed correctly, they are rare when performed by doctors who are specially trained. A perforation, or hole, of the esophagus lining occurs in a small percentage of cases and may require surgery. A tear of the esophagus lining may occur and bleeding may result. Complications from heart or lung diseases are potential risks if sedatives were used. Symptoms of thisdisorder vary and may include difficulty swallowing (dysphagia), painfulswallowing, regurgitation of food and weight loss. Further complications mayalso arise if the stricture is left untreated. Fortunately, esophageal dilation offers potential relief andhealing for those suffering from esophageal stricture, Dr. Julio Murra Saca perform a dilation with hydrostatic Balloon. www.murrasaca.com (Less) Channel: youtube
40,
02:28,
2008-04-21 19:09:13
Description: Endoscopy Exam I had done a while ago. That small hole on the way down the esophagus is a hiatal hernia. There is also some inflammation in the esophagus.
Channel: youtube
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