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August 1973

Hiatal Hernia With EsophagitisA Simplified Transabdominal Surgical Treatment

Author Affiliations

Kansas City, Kan
From the Department of General Surgery, Bethany Medical Center, Kansas City, Kan.

Arch Surg. 1973;107(2):195-200. doi:10.1001/archsurg.1973.01350200067016

One hundred-sixty patients were treated surgically with a valvuloplasty technique for gastroesophageal reflux and esophagitis. All but nine patients had a sliding hiatal hernia. In no case was the hernia repaired.

The surgical approach, a reefing of the sling muscles plus vagotomy, was designed to restore competence to the antireflux mechanisms of the gastroesophageal area.

Ninety-two percent of the patients remain symptom-free, while 8% are occasionally symptomatic.

The high incidence of associated foregut diseases suggests an embryologic factor in the development of gastroesophageal reflux.