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FUNCTIONAL STRICTURE OF THE ESOPHAGUS Kiyotaka Kawai 1,2 pp.545-548
Published Date 1975/8/20
DOI https://doi.org/10.11477/mf.1492208232
  • Abstract
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 We have experienced a case of functional disruption of swallowing that began about 1 month previously, but gradually worsened until the patient became completely devoid of the act of swallowing. Esophageal examinations were made under fluoroscopy and direct esophagoscopy under local anesthesia. After establishing a fistula the esophagus was reexamined with esophagoscopy under a general anesthesia. No anatomical anomaly was found. The case was diagnosed as a functional disturbance.

 The patient was a man, aged 62, holding a seat of a faculty member of a university. He was particularly under stress by problems related to radical activities of the students, the lack of satisfactory communications that exist among the young and the elders, etc. Besides, the patient was highly sensitive in his psychological make-up and often worried about his past illnesses. It is highly probable that these elements were the basis upon which the present symptoms developed.

 The patient was hospitalized for the period of 3 months during which period he made a complete recovery. At present 8 months later the patient is symptom-free.


Copyright © 1975, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 印刷版ISSN 0386-9679 医学書院

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