[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
August 1951

MASSIVE HEMATEMESIS FROM HIATUS HERNIAReport of Four Cases with Discussion of Etiology

Author Affiliations

From the Gastric Service, Memorial Hospital.

AMA Arch Surg. 1951;63(2):143-146. doi:10.1001/archsurg.1951.01250040147002

GASTROINTESTINAL bleeding may on occasion be found in patients with no demonstrable lesion other than hiatus hernia. It is unreasonable to believe that a hernia in the gastrointestinal tract will give rise to bleeding per se. Frank ulceration, or at least mucosal erosion, must be present in the herniated viscus to account for the complication. Other writers on the subject agree with this opinion.1

Hiatus hernia has been estimated to be present in from 0.06 to 2.9 per cent of all patients subjected to roentgen examination of the gastrointestinal tract.2 The apparent increasing incidence of hiatus hernia in recent surveys as compared with those of earlier years is undoubtedly due to its more frequent recognition.3 Many persons with hiatus hernia live a normal span of years without any signs or symptoms referable to this anatomical abnormality. Why certain patients with hiatus hernia experience blood loss remains a

First Page Preview View Large
First page PDF preview
First page PDF preview