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Article
February 10, 1894

GASTROSTOMY BY WITZEL'S METHOD FOR PRIMARY CANCER OF THE ESOPHAGUS.Read in Philadelphia Academy of Surgery.

Author Affiliations

PHILADELPHIA. PROFESSOR OF THE PRINCIPLES OF SURGERY AND OF CLINICAL SURGERY, JEFFERSON MEDICAL COLLEGE.

JAMA. 1894;XXII(6):189-192. doi:10.1001/jama.1894.02420850017002g
Abstract

The patient, S. S. aged 48, occupation puddler in rolling mills, was admitted to the Jefferson Hospital July 31, 1893, at the request of Dr. A. G. Miner of Niles, Ohio. His father died of asthma, his mother of cancer of the breast. He has always had good health with the exception of an occasional brief attack of rheumatism. For the past thirteen months he has experienced trouble in swallowing; seven months ago he could swallow solid food without much discomfort, but now can swallow nothing but liquids. He states that the constriction came on gradually and that he noticed from time to time the lessening of the caliber of his esophagus. When he takes nourishment he feels first an impediment to the passage at a point corresponding to the sterno-clavicular articulation; then the food passes with comparative ease until it reaches a point which corresponds to half an inch

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