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February 1930


Arch Otolaryngol. 1930;11(2):178-187. doi:10.1001/archotol.1930.03560020054005

The following names are the various synonyms suggested for cardiospasm: ingluviosis, preventriculosis, achalasia, phrenospasm, hiatal esophagismus and stenosis of the lower end of the esophagus.

ETIOLOGY  Jackson1 has said that "anatomic, pathologic, fluoroscopic, esophagoscopic and clinical studies have shown that the disease in a large proportion of cases is not spasmodic."The condition has been considered as a neurosis. McKinney, Guisez, Plummer, Sargnon and others have considered it as endocrine imbalance. Mosher has demonstrated by fluoroscopic and anatomic studies that there is some pathologic change in the liver tunnel which causes this condition. He has shown that there are certain cases in which the compression stenosis caused by the liver has produced this phenomenon. In other cases, cicatrices and adhesions were the organic factors of the obstruction. Pathologic conditions of the lower lobe of the left lung have been considered as factors in producing this abnormality. Jackson has demonstrated physiologically

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