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DISEASES OF THE ESOPHAGUS: ESOPHAGOSCOPIC CONSIDERATIONS

DISEASES OF THE ESOPHAGUS: ESOPHAGOSCOPIC CONSIDERATIONS This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract The replacement of inferential diagnostic methods by objective procedures has revolutionized methods of diagnosis and treatment of disease. This is particularly true of diseases of the esophagus. Inspection of the entire length of the esophagus has conclusively demonstrated that many of the inferential diagnoses made in preesophagoscopic days were based largely on error. To understand more fully the symptoms, diagnosis and treatment of esophageal disease it is important to recall that the esophagus is a long, redundant and movable tube contained in great part in the thoracic cavity, where it occupies whatever space may be allotted it by surrounding viscera. Its fixed points are at the hypopharynx and at the diaphragm. Its course is moderately tortuous, and its lumen presents certain anatomic constrictions, several of which are of clinical importance. The upper end of the esophagus is maintained in a state of tonic closure by the cricopharyngeus muscle, the horizontal http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

DISEASES OF THE ESOPHAGUS: ESOPHAGOSCOPIC CONSIDERATIONS

Archives of Surgery , Volume 41 (5) – Nov 1, 1940

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Publisher
American Medical Association
Copyright
Copyright © 1940 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1940.01210050003001
Publisher site
See Article on Publisher Site

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract The replacement of inferential diagnostic methods by objective procedures has revolutionized methods of diagnosis and treatment of disease. This is particularly true of diseases of the esophagus. Inspection of the entire length of the esophagus has conclusively demonstrated that many of the inferential diagnoses made in preesophagoscopic days were based largely on error. To understand more fully the symptoms, diagnosis and treatment of esophageal disease it is important to recall that the esophagus is a long, redundant and movable tube contained in great part in the thoracic cavity, where it occupies whatever space may be allotted it by surrounding viscera. Its fixed points are at the hypopharynx and at the diaphragm. Its course is moderately tortuous, and its lumen presents certain anatomic constrictions, several of which are of clinical importance. The upper end of the esophagus is maintained in a state of tonic closure by the cricopharyngeus muscle, the horizontal

Journal

Archives of SurgeryAmerican Medical Association

Published: Nov 1, 1940

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