Peroral endoscopy and laryngeal surgery . FiG. 411.—Radiograph ol a woman of 45, shoiNiiij; an abdominal isoiihagismusvvliich was afterward cured by endoscopic mechanical divulsion. The flat floor ofthe dilatation shows why previously used blind methods had failed to introduceany instrument through the hiatus. customed to the unusual sensation of having food go through directlywhen swallowed. Patients afflicted with spasm of the abdominal esoph-agus usually complain of distress after eating and regurgitation of foodwithin a period of from a c|uarter of an hour to several hours after eat- DISEA
Peroral endoscopy and laryngeal surgery . FiG. 411.—Radiograph ol a woman of 45, shoiNiiij; an abdominal isoiihagismusvvliich was afterward cured by endoscopic mechanical divulsion. The flat floor ofthe dilatation shows why previously used blind methods had failed to introduceany instrument through the hiatus. customed to the unusual sensation of having food go through directlywhen swallowed. Patients afflicted with spasm of the abdominal esoph-agus usually complain of distress after eating and regurgitation of foodwithin a period of from a c|uarter of an hour to several hours after eat- DISEASES OE THE ESOPHAGUS. 51 o iiig. At limes, especially if ihe sac be large, there will be no regurgitationfor a number of days, when a large quantity of stale food may come many instances, hiowever, but a very small quantity of food is re-gurgitated, though the accumulation be large. It will pass gradually, a. Fu;. 41J,—Ka(li(i};ra])Ii (jf a woman of , sliowinn an abiluminal esnpliaHismuswith only very slight dilatation above it. The deviation of the esophagus by theaorta was verified csophagoscopically (Authors case. Radioyrapli made by C, Bowen), little at a time, as the spasm relaxes, into the stomach and usually (thoughnot always) before a serious state of inanition supervenes. The symp-toms are not meant as in any way diagnostic. There are no absolutely 516 DISEASES OF THE ESOPHAGUS. diagnostic signs of esophageal disease, and the author in tlie presentwork has referred but little to them. The fact of the matter is that anypatient coming in with any symptoms whatever that could be possiblyreferable to the esophagus, requires an esophagoscopy. Any sort of diag-nosis based upon signs and symptoms is so apt to be erroneous, that it isnot worth while to more than make a decision that the symptoms justify
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
