Abstract
ENCOURAGED by the experimental work on the replacement of portions of the esophagus by a plastic tube in dogs,1 it was thought feasible to attempt this procedure in an elderly patient with a carcinoma of the lower end of the esophagus with metastasis. The patient was an extremely poor risk, and it was our judgment that it would have been more dangerous and time consuming to attempt the more conventional method. REPORT OF A CASE A. G., a 75-year-old white man, was admitted to the Sinai Hospital in October, 1950, with a complaint of having difficulty in swallowing for one week. The past history was noncontributory. The family history revealed that the father died of cancer of the "neck." An interview with the patient dated back to only a week or so prior to admission, when he stated that on attempting to swallow some meat, "it stuck in my

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