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Article
March 1, 1941

CONGENITAL SHORT ESOPHAGUS WITH THORACIC STOMACH AND ESOPHAGEAL HIATUS HERNIAS: REPORT OF FORTY-SEVEN CASES

Author Affiliations

ROCHESTER, MINN.
From the Department of Medicine, St. Luke's Hospital, Chicago.

JAMA. 1941;116(9):821-825. doi:10.1001/jama.1941.02820090021005
Abstract

Herniation of the stomach into the thorax by way of the esophageal hiatus is encountered with increasing frequency as efforts to diagnose or suspect it clinically are intensified by more relevant information regarding the condition. Various authors have attempted to define typical symptoms or symptom complexes since Bailey1 in 1919 wrote of the thoracic stomach which was associated with a congenital short esophagus. We are now familiar with another similar but more common entity in which the esophagus is of normal length, best referred to as esophageal hiatus hernia. The present report presents a survey of forty-seven cases taken from the St. Luke's Hospital records in an attempt to analyze further clinically the symptom relationship. There were fourteen in which there was a congenital short esophagus with partial or complete thoracic stomach; thirty-three presented an esophageal hiatus hernia with varying degrees of stomach herniation. All presented positive roentgenographic, esophagoscopic

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