食道狹窄症殊に瘢痕性狹窄に就いて

　本日御覽に入れます患者は食道の通過障碍を訴えるものであります．

　第1例に年令6歳の男兒であつて，主訴は嚥下障碍であります．家族歴として父系祖父が「パラチフス」にて死亡した他，父系祖母，母系祖父母共に健在であり，父は32歳，母は28歳で健在である．同胞は3人で患者は長男であり，第二子は3歳男兒，第三子は2歳女兒である．遺傳的に結核，癌，血友病，糖尿病，黴毒，脚氣，精神病は共に認められない．既往歴として出産は8ケ月早産で，体重750匁であつて生後4〜5日間泣かなかつたと云う．栄養は人工であり，1歳の時麻疹に罹患した他著患はなく種痘は善感である．

Goto and Yamane in their clinical lecture pre-sent 2 cases of stricture of esophagus. The first case: A male child, 6 years of age who compl-ains of difficult deglutition, the onset of which began at the age 1 year and 5 montns when the patient accidently swallowed some caustic soda solution. Under esophaguscopy cicatricial con-strictions of the lumen of esophagus are first encountered at a distance of 20 cm. from upper incisor teeth and beyond a 9 mm esophaguscope could not be admitted. The patient is being treated by bougie dilatation of the lumen. The second case: A man 50 years of age with stri-cture of esophagus. Biopsy specimen obtained by esophaguscopy from the constricted area which was about 27 cm. below the margin of upper incisor teeth proves to be an epithelioma. The patient in this case is being treated with radium insertions.