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CARDIOSPASM. DR. CHARLES J. IMPERATORI.
This article appears in full in this issue, p. 178.
DISCUSSION
Dr. Gabriel Tucker, Philadelphia: Dr. imperatori has asked that we depart from the usual custom and discuss his presidential address. I feel that his masterly presentation of the subject commands the highest praise, and I have no discussion to offer. I have, however, an endoscopic hydrostatic dilator that I have demonstrated to Dr. Imperatori and wish to present under new instruments to the society as an addition to the instrumentarium for the treatment for so-called cardiospasm.
An Endoscopic Dilator for Stretching the Hiatal Esophagus in Preventriculosis (So-Called Cardiospasm). Dr. Gabriel Tucker, Philadelphia.
The safest method of dilating the stenosed area in preventriculosis is the introduction, by sight, of the distally lighted beveled tip of the Jackson esophagoscope through this area. Direct inspection of the narrowing ulceration, infiltration or cicatricial stricture would contraindicate "stretching" as