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E. C. TEXTER, JR., M.D.; G. VAN DERSTAPPEN, M.D.; G. CHEJFEC, M.D.; V. E. CHVOJKA, M.D.; M. VIDINLI, M.D.; C. J. BARBORKA, M.D.; W. E. BUNDESEN, M.D.

Arch Intern Med. 1962;110(6):827-836.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Introduction

The diagnosis and clinical significance of hiatal hernia has been the subject of numerous reports. No symptom pattern is diagnostic, and various diseases, which are often associated, may cause similar complaints. Moreover, severe complications such as bleeding and stenosis sometimes occur without an antecedent history.

The use of specialized radiologic techniques and the redefining of the radiologic criteria are responsible for the apparently increased incidence of sliding hiatal hernia in recent years.^1-3 Inflammation of the esophageal wall may be present before macroscopic lesions are evident. Intraluminal pH measurements have demonstrated a high incidence of gastroesophageal regurgitation.^4,5 Esophageal symptoms have been reproduced by infusion of 0.1 N HCl.⁵ Motor dysfunction of the esophagus has been demonstrated in patients with hiatal hernia.^6-12

This report is based upon study of several hundred patients with hiatal hernia using a combination of approaches, including assessment of the clinical features, routine . . . [Full Text PDF of this Article]

Author Affiliations
CHICAGO

Departments of Medicine and Radiology, Northwestern University Medical School, and the Medical and Radiology Services, Veterans Administration Research Hospital and Passavant Memorial Hospital.

Footnotes
Submitted for publication July 25, 1961; accepted Oct. 8.

Read before the Section on Gastroenterology and Proctology at the 110th Annual Meeting of the American Medical Association, New York, June 25-30, 1961.

This investigation was supported in part by grants (A-2651 and 2A-5094), National Institute of Arthritis and Metabolic Diseases, National Institutes of Health, U.S. Public Health Service.

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