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February 1948


Author Affiliations

From the Department of Otolaryngology, University Hospital, Ann Arbor, Mich.

Arch Otolaryngol. 1948;47(2):133-137. doi:10.1001/archotol.1948.00690030142004

THE PURPOSE of this paper is to present a technic for the management of extensive cicatricial stenosis of the esophagus. This technic has been employed in the University Hospital at Ann Arbor, Mich., during the last four years, with satisfying results. The prime objective of treatment is, of course, to relieve the patient of his symptoms and to establish an adequate esophageal lumen. A minimal period of hospitalization is possible when the patient is trained to carry out his own dilation. This not only helps to lessen the morbidity but also is a powerful boost to the patient's mental outlook.

Unfortunately, most of the patients with stricture of the esophagus present themselves when their condition is of long standing. Some are unable to swallow even their saliva, and all are in a state of malnutrition. The management of acute chemical burns of the esophagus1 has been effective when it included