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Treatment of the Lower Esophageal Ring by Pneumatic Dilatation

Irvin Hyatt, MD
Arch Intern Med. 1967;120(1):102-104. doi:10.1001/archinte.1967.00300010104020.
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SINCE surgical repair of the troublesome lower esophageal ring has not been universally accepted, other modes of treatment have been sought. In 1964, Mossberg reported an excellent result by pneumatic dilatation. Encouraged by this report, pneumatic dilatation was employed in a similar instance with a very gratifying response.

Report of a Case  A 57-year-old married white male steelworker was admitted to the hospital for the first time in 1958 with the major complaint of intermittent dysphagia since 1955. The episodes of swallowing difficulty did not occur regularly at the same time during the meal. At times, the sensation of food stopping in the lower portion of his chest or upper epigastrium would begin at the very onset of eating, at some times during midmeal, and at others, at the completion of the meal. With the onset of this food sticking sensation, he would become aware of an unpleasant, tight,


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