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On July 14 of the present year, Dr. Thos. W. Taylor consulted me in regard to a patient who was unable to swallow anything save liquid. The patient, Gapt. S., aged 54, weight previous to difficulty in swallowing 230 lbs., at time of examination 156 lbs. Examination by means of œsophageal bougie (smallest size) revealed the fact that complete stenosis of the oesophagus existed at the cardiac end. Repeated trials failed to pass the stricture, and the patient was informed that only an operation, the nature of which was explained to him, could prevent his death from starvation. Operation was declined. Again on July 29, the patient consulted me, and after persistent effort I failed to pass the stricture with the smallest bougie? He was requested by me to go before the Henderson County Medical Society, which held a meeting that afternoon, and be examined. To this he consented, and
DIXON A. A CASE OF GASTROSTOMY FOR IMPERMEABLE STRICTURE OF THE CARDIAC END OF THE (ESOPHAGUS. RECOVERY. SUBSEQUENT DILATATION OF THE STRICTURE, FOLLOWED BY RETROGRADE DILATATION. JAMA. 1892;XVIII(2):42–43. doi:10.1001/jama.1892.02411060012001d
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