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Article
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
Abstract

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.

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