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.
Sifers EC, Tretbar LL. Hiatal Hernia With EsophagitisA Simplified Transabdominal Surgical Treatment. Arch Surg. 1973;107(2):195-200. doi:10.1001/archsurg.1973.01350200067016