DISEASES OF THE DIGESTIVE SYSTEM. 179 



Define a jabot. 



By a jabot is meant a saccular dilatation or a hernia of the 

 oesophagus. In other cases the dilatation may be more or less gen- 

 eral. 



What are the symptoms ? 



There is an altered appetite, difficulty of deglutition, signs of 

 choking, more or less severe, salivation, regurgitation of food and 

 drink, emaciation, which is more or less gradual. 



Locally, on the left side, generally in front of the shoulder, 

 a tumor appears, which is soft to the feel, compressible, and re- 

 ducible on pressure. After eating or drinking the tumor becomes 

 larger, on account of containing food. 



With what condition may a jabot be confounded ? 



With a cold abscess, when situated on the left side. 



How are these to be differentiated ? 



By the jabot being soft and reducible, while the cold abscess 

 is hard, the walls thick, and, if aspirated, will be found to contain 

 pus, if it has had time to form. 



What is the prognosis ? 



Dilatation is usually associated with stricture, the former being 

 above the stricture. 



What is the treatment ? 



There is nothing much to do in these cases; some recommend 

 cutting down, etc., and in some cases may get good results. 

 Pressure may be of some service. 



KUPTUEE OF THE (ESOPHAGUS. 



Name the synonym. 



Perforation of the gullet. 



What are the causes ? 



The lodgement of foreign bodies, punctured wounds, or from 

 the result of operations; it may be associated with certain brain 

 affections. 



