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THE SWALLOWED SILK THREAD AS A GUIDE IN ESOPHAGEAL INSTRUMENTATION
PORTER P. VINSON, M.D.
Arch Otolaryngol. 1931;13(1):94-96.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Dunham,1 in 1902, first suggested the use of a swallowed silk thread as a guide in dilating strictures of the esophagus. The thread, used in conjunction with gastrostomy, was withdrawn from the opening in the stomach. Later, Mixter2 found that gastrostomy was unnecessary, and if the thread was swallowed slowly, it would pass through the stricture into the stomach and the intestine and could be pulled sufficiently taut to permit its being used as a guide in passing dilating sounds. Plummer,3 in 1910, called attention to the value of the thread in cases of lesions in the esophagus and reported its use in 300 cases. Since then much has been written concerning this simple and useful procedure, but many misconceptions still exist with regard to the way in which it is used.
In many cases, patients suffering from various types of esophageal stricture come under my observation
. . . [Full Text PDF of this Article]
Author Affiliations
ROCHESTER, MINN.
From the Division of Medicine, the Mayo Clinic.
Footnotes
Submitted for publication, Oct. 9, 1930.
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