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Study of 105 Patients

ROBERT E. CROZIER, MD; HAUKUR JONASSON, MD

Arch Intern Med. 1964;113(5):737-743.

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

The present study was undertaken to ascertain the effects of long periods of medical management in a group of patients with noncongenital, nontraumatic, symptomatic hiatus hernias.

Clinical investigation suggests that most symptoms of hiatus hernias are produced by esophageal reflux.^1-4 Manometric studies 5,6 indicate that the lower esophageal physiologic sphincter (or vestibule) is a zone higher in pressure than the gastric pressures and normally prevents reflux from the stomach (Figure). In the presence of a hiatus hernia, however, this zone of high pressure as well as normal esophageal contractions becomes disturbed, and reflux ensues. In addition, pressure effects of the hernia in the thorax and other mechanical disturbances may produce symptoms.

Selection of Cases

The records of the first 600 patients with hiatus hernias seen at the Lahey Clinic since 1935 were reviewed. Of this group, 105 patients were considered to have symptomatic hernias (Table 1). Cases in which . . . [Full Text PDF of this Article]

Author Affiliations
BOSTON

Footnotes
Received for publication Feb 7, 1963; accepted June 17.

Department of Gastroenterology (Dr. Crozier) and former Fellow in Gastroenterology (Dr. Jonasson), Lahey Clinic.

Present address (Dr. Jonasson): Reykjavik, Iceland.

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