A CASE OF CARDIOSPASM:  FOLLOWED BY HYPERTROPHY, DILATATION, AND STRICTURE OF THE ESOPHAGUS, TREATED BY GASTROSTOMY, AND SUBSEQUENT DILATATION OF THE ESOPHAGEAL STRICTURE

The case here reported is of special interest for several reasons. The diagnosis of cardiospasm is made because clinically the element of spasm is unquestionably present, the food entering the stomach at certain times very much better than at other times. Sodium bicarbonate and sodium bromid seemed to assist in causing the food to enter the stomach. The diagnosis of stricture of the esophagus is verified by roentgen-ray plates, the first plate showing a thin stream of barium just entering the stricture, with a dilated portion of the esophagus above the stricture; the second plate shows the barium in the lumen of the stricture, and the third plate shows the barium meal just entering the stomach. Another point of special interest is that the diagnosis of ulcerative esophagitis was made by direct inspection with the eye, the esophagoscope being passed by Dr. Chevalier Jackson and the ulcerated area being clearly