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September 25, 1909


Author Affiliations


JAMA. 1909;LIII(13):1009-1013. doi:10.1001/jama.1909.92550130001001g

One hundred and five deaths, recorded in North America in five years, from foreign bodies in the air and food passages, or from ill-advised efforts at removal, show the necessity of acquainting the general profession with the advances already made and still being made in esophagoscopy and bronchoscopy. Further, I wish to report cases which point out lessons for us all. As evidence of the prevalence of blind groping after foreign bodies, 36 per cent. of the foreign-body cases that have come to me have been in a state decidedly the worse for the unjustifiable, obsolete attempts at removal, which, moreover, had failed to remove the intruder.

In one case, seen in consultation, a child of 2 years was dying from acute esophagitis. A penny had lodged in the esophagus five days before. Forceps had been passed blindly, without an esophagoscope. Two days after this utterly unjustifiable procedure, the

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