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January 10, 1977

"Light Up the Larynx" During Upper Gastrointestinal Endoscopy

JAMA. 1977;237(2):120. doi:10.1001/jama.1977.03270290020014

To the Editor.—  Citing his experience of finding pathologic conditions in 17% of 1,000 asymptomatic patients,1 Dr Klein pleads for more frequent examination of the larynx (236:1017, 1976). His plea can be satisfied, because each day thousands of patients undergo examinations of the upper gastrointestinal tract with forwardviewing fiberoptic endoscopes. As the endoscope is withdrawn, its tip can easily be angulated anteriorly to "light up the larynx." An excellent laryngoscopic examination can be performed and high-quality photographs taken. This may be done at no additional cost, risk, or discomfort for the patient.I agree with Dr Klein that abnoxmalities lurk in the larynx, and I encourage my colleagues to "light up the larynx" during every endoscopic examination.