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February 6, 1937

Foreign Letters

JAMA. 1937;108(6):485-489. doi:10.1001/jama.1937.02780060051017

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LONDON  (From Our Regular Correspondent)Jan. 2, 1937.

Anatomic Variations of Alimentary Tract  At the annual Congress of Radiology, held in London, an important discussion took place on anatomic variations of the alimentary tract. Sir Thomas P. Dunhill dealt with the esophagus and thoracic stomach. He reported a case of short esophagus with parietal thoracic stomach sent to him with the diagnosis of carcinoma of the esophagus and roentgenograms that were supposed to show this. He made a barium sulfate examination which showed clearly a short esophagus and thoracic stomach. He subsequently saw twenty-five similar cases. In such cases an increase took place in the amount of the stomach which gradually found its way into the thorax, and then retention of contents in the esophagus produced ulceration above the narrowed stricture, with increasing dilatation. In certain cases an esophagus of normal length herniated back into the thorax. Not many cases

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