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Symptomatic Mid-Esophageal Webs

Maurice L. Kelley Jr., MD; John P. Frazer, MD
JAMA. 1966;197(2):143-146. doi:10.1001/jama.1966.03110020131047.
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WEBS of the mid esophagus are unusual, their cause is obscure, and information regarding the results of treatment is scarce. The purpose of this report is to document the clinical, radiological, endoscopic, and intraluminal manometric findings in a man with dysphagia secondary to such constrictions and to discuss appropriate management of this entity.

Report of a Case  A 46-year-old white, married, business executive (SMH 60-60-41) was examined on April 30, 1965, because of intermittent sticking of food in the esophagus since 1945. The episodes of dysphagia, at first, were infrequent but in the past several years had occurred at almost every meal. Food seemed to lodge at a point just inferior to the suprasternal notch and remained there for several minutes to two hours. The bolus would "go through" spontaneously on some occasions but frequently had to be regurgitated by forced gagging. Steak, chicken, grapes, and bread were the major


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