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October 1957

Studies on Neuromuscular Imbalance of the Esophagus: Cinefluorography and Intraesophageal Pressure Studies

Author Affiliations

From the Department of Medical Research, the Department of Radiology, and the Division of Surgery, St. Luke's Hospital.

AMA Arch Surg. 1957;75(4):631-638. doi:10.1001/archsurg.1957.01280160141018

Introduction  It was the original purpose of the present study to evaluate cinefluorography as a diagnostic and investigative tool in the study of certain diseases of the esophagus. The technique has already been applied successfully in studying the act of deglutition by others.1,2 It became apparent soon after starting the study that cinefluorography alone was insufficient for proper evaluation of esophageal disease, and that it had to be used in combination with other studies, such as intraesophageal pressure recordings, routine fluoroscopic and x-ray examinations, a careful history and physical examination, and esophagoscopy when feasible. It became a secondary aim of the study to correlate and categorize, if possible, the neuromuscular disorders of the esophagus in order to place the diagnosis and treatment of such conditions on a more rational basis.In the over-all study, a total of 60 patients with esophageal problems falling in the following categories were studied:

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