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The editor of the American Journal of Digestive Diseases described here Monday a brand new technique which is accomplishing wonders in diagnosing ailments of the esophogus. Dr. Clinton Texter, Chicago, III, said the new technique involves use of a fluorocinematographic unit. The unit, he explained, takes X-ray moving pictures which dan be flashed on a television screen. Dr. Texter, who is assistant professor of medicine at the Northwestern university medical school, was a featured speaker Monday at the opening of a postgraduate course being held at the Louisiana State university medical school. It is under the auspices of the American College of Physicians. PRECEDES MEETING The postgraduate course is a forerunner of the 61st annual meeting of the American Gas-troenterological Association, which opens sessions Friday at the Roosevelt hotel. Dr. Texter is chairman of the gastroenterol-ogy research group for the convention. In explaining use of the new fluorocinematographic unit, Dr. Texter said "we use X-ray tubes but instead of making X-ray pictures we make television movies." "We use barium, too, but we get much better results with the new technique,'* the gastroenter-ologist added." In fact, there are many advantages. To begin with we get a much lower radiation than we did with the old X-ray method. The radiologist doesn't have to wear dark glasses. Nor does he have to work in the dark." ALLOWS NEW STUDIES "Equally important," said Dr. Texter, "is the fact that the new technique gives us motion, enabling us to study things which we were never able to study before." Dr. Texter said "in the swallowing process some things happen so fast you just can't see them on X-ray," "But you can with this new machine, because it freezes motion," he added. "In hiatus hernia, for instance, you can tell why people have certain symptoms and why certain cases call for surgery." Dr. Texter said pressure from the esophogus can now be measured at the tame time the movies are being made. "We didn't get enough light out of the fluoroscope," he add- ed. "But with this machine we get a lot more without increasing the amount of X-ray exposure to the patient. There are between six and 10 such units in the nation today. We at Northwestern have tried it out the longest. And we use the films for teaching medical students." EMOTIONAL FACTOR Another speaker at the postgraduate course said he believes between a third and two-thirds of the patients seeking medical aid today are suffering from disorders based on emotional disturbances. "Unfortunately many doctors and many laymen take a very pessimistic attitude toward such patients," added the speaker, Dr. Dwight L. Wilbur, of San Francisco. Dr. Wilbur who is past president of the American College of Physicians, said even if such functional disorders are based on emotional disturbances, "they are far from being im-"4 aginary." "They are very real and we have proof of this," the physician added. "That is why I believe doctors and the general public should adopt a more sympathetic attitude toward such patients." v Dr. Wilbur said the majority of the patients have trouble with their stomach or their digestive tract; they suffer from such ailments as diarrhea, irritable colon, ulcerative colitis. ULCER SYMPTOMS "And to a certain extent, ulcers," added the California physician. "Ulcers are not purely emotional in origin. But there is a certain element of emotional disturbance involved in producing symptoms of ulcer.' Dr. Wilbur said the emotional disturbances which form the basis for functional disorders are usually based on conflict. He said a situation develops in the patient's life which makes him unhappy or depressed. "If the doctor tells the patient why he ' as the condition, the patient will worry less and will be more apt to approach treatment in the proper way," he added. Dr. Wilbur said it is highly important for the doctor to diag- se the situation correctly. He said this shouldn't be too difficult since such conditions have characteristic features." MEXICAN SURVEYS A Mexican physician said between 30 and 40 per cent of the people of rural Mexico suffer from malnutrition. This fact was unearthed during recent surveys carried on by the Institute Nacional de la Nutricion, with which he is affiliated, explained Dr. Salva-j 4or Zubiran, of Mexico City. "The diet of my people has been low not only in calories ]but in animal protein," Dr. Zu-j i>iran explained, "This was not I easy to determine among the adults since the grown people were so accustomed to malnutrition they had adapted themselves to it. And so there are very few clinical signs," AMONG CHILDREN The Mexican physician said signs of malnutrition showed up among the children, "who have not yet adapted them- selves." And they were sometimes in evidence in adults when new demands were made on their system^ such as in pregnancy. Dr. Zubiran said the Mexican government is taking steps to 'counteract this widespread malnutrition; that the people are ! being educated to the need for better nutrition. The physician said Mexico's highly seasoned food does not [injure the stomachs of his countrymen, since they are ac^ :ustomed to such food. But malnutrition, he added, j leads to diarrhea and liver damage.
|Title||Technique in diagnosing esophogus ailments told: Fluorocinematographic Unit Use Explained|
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Congresses as Topic
American Gastroenterological Association
McHardy, Gordon, Dr.
|Call Number||1960 p36-37|
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