i 4

▲ Fig. 23 a. ▼ Fig. 23 b.

▲ Fig. 23 c. ▼ Fig. 23 d.

D Fig. 23a-h. Patient A., age 58. Diagnosis: gastric cancer. Complained of rapid fatigue, rapid satiability after eating small meals, moderate dysphagia. Diseased for 2 years (from the time when he first felt epigastric discomfort after meals). Received outpatient treatment with no positive results. Anamnesis: the first X-ray examination revealed infiltrative cancer of the stomach. Multiple endoscopy, including the taking of 6-8 tissue specimens, failed to reveal organic involvement. Histological studies did not reveal tumor cells either. The first symptom of dysphagia had occurred about a month earlier. The patient was given another X-ray examination. a Stomach X-ray (vertical position, anterior projection): symptom of gas redistribution in the stomach, the gastric air bubble is extended (arrows); b Stomach X-ray (tight filling, vertical position, anterior projection) at the moment of contrast medium passage through the gastroesophageal junction; the abdominal segment of the esophagus is irregularly narrow,

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