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Renewed attempts are being constantly made to bring gastroscopy into vogue. This one emanates from France and seems to furnish a bigger ray of hope for its ultimate usefulness. The author feels that it is indicated in difficult cases when other methods of investigation do not suffice to settle the diagnosis. It should never be employed in the presence of acute esophageal inflammation, ulceration, stenosis due to carcinoma, esophageal varices such as occur in cirrhosis of the liver, or when recent gastric hemorrhage has occurred. Gastroscopy should be done on the empty stomach, under local anesthesia, with a wire guide and the patient preferably in the left lateral position. Other positions are employed, but less advantageously. Insufflation of the stomach during the examination helps to bring otherwise inaccessible portions of the stomach into view. The author believes that increased facility in the diagnosis of recent ulcer warrants the use of
Practical Gastroscopy. JAMA. 1927;89(16):1358. doi:10.1001/jama.1927.02690160066041
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