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December 11, 1909


JAMA. 1909;LIII(24):1962-1964. doi:10.1001/jama.1909.92550240001001c

The treatment of cancer of the stomach rests in the hands of the surgeon, but the diagnosis rests in the brain of the physician. He is the first to see the case. If he fails to make an early diagnosis the surgeon can give no hope. And yet early diagnosis is often impossible even with the advantages of experience and the laboratory. For these reasons I hope to interest the internists of this Section in a comparatively new factor in the early diagnosis of cancer of the stomach. This factor is the x-ray plate.

The use of the x-ray in diseases of the alimentary tube depends on the fact that the inside of the stomach or intestine, when coated with a salt of bismuth, casts its shadow on plate or screen. In such shadows lie the x-ray evidence of gastric disease. These skiagraphs are not self-interpreting. A known and constant

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