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February 25, 1911


Author Affiliations

Physician to St. Mary's Hospital ROCHESTER, MINN.

JAMA. 1911;LVI(8):560-564. doi:10.1001/jama.1911.02560080008002

About 300 esophageal cases which have come under observation during the last four years have been studied not only with a view to the establishment of a correct diagnosis and productive therapeutics for the individual case, but also with the idea of determining the relative value of the clinical and technical findings. I wish in this paper to consider briefly those points which contribute to obtaining definite technical data safely.

The clinical examination is of the utmost importance not only for its intrinsic value, but as a guide to the succeeding technical procedures. The more important features to be determined in esophageal diseases by the technical methods of examination are the existence, size and relations of pockets, dilatations and strictures, and the character of the esophageal wall, notably at the seat of narrowing.

The technical methods which have proved of especial value may be grouped under three heads, namely: roentgenography,

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