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Progressive Dysphagia
Edward H. Eliscu, MD
JAMA. 1968;205(13):926-927.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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DR. EDWARD H. ELISCU: This is the first Massachusetts General Hospital admission for this 56-year-old white male alcoholic. The patient was relatively well until three months prior to admission when he first noted difficulty in swallowing. Dysphagia became progressive over the next three months, first occurring with solid food and then with liquids. After eating, he felt that food was stuck in his chest causing nausea, which was relieved by vomiting. Occasionally, specks of blood were noted in vomitus containing undigested food. The patient denied having had any alcohol during the past eight months. He had lost no weight. Physical examination was not contributory. An upper gastrointestinal tract examination was performed (Fig 1 and 2).
Discussion
DR. LAURENCE L. ROBBINS: Dr. Pfister, what is your opinion of this case?
DR. RICHARD C. PFISTER: The roentgenograms reveal two areas of interest: one is a large axial hiatus hernia; the other is
. . . [Full Text PDF of this Article]
Author Affiliations
From the weekly X-ray Seminar, Department of Radiology, Massachusetts General Hospital, Boston.
Footnotes
Reprint requests to Massachusetts General Hospital, Boston 02114 (Dr. Laurence L. Robbins).
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