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November 2, 1929, Vol 93, No. 18 >
ARTICLE | November 2, 1929

CANCER OF THE LOWER END OF THE ESOPHAGUS AND CARDIAC END OF THE STOMACH

P. M. HICKEY, M.D.
JAMA. 1929;93(18):1356-1358. doi:10.1001/jama.1929.02710180006002.
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In a former paper I called attention to the fact that cancer of the esophagus is a subject to which the medical profession cannot point with pride, as the diagnosis is usually made very late in the history of the case and the diagnosis all too frequently is the profession's only contribution in its clinical course.

Cancer of the upper esophagus does not lend itself to early diagnosis by means of the x-rays for the obvious reason that it is difficult to fill the lumen of the upper esophagus with the contrast meal. Fortunately the lower and middle thirds of the esophagus, where distention with the contrast meal is more easily produced, are more favorable sites for accurate examinations. The direct demonstration of the cancer without a barium filling is of little value and will not be considered. It is best to study by a contrast meal any encroachments by

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