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Article
March 10, 1956

PNEUMOPERITONEUM AS A DIAGNOSTIC-THERAPEUTIC TESTTEST TO DETERMINE THE RELATIONSHIP OF ESOPHAGEAL HIATUS HERNIA TO ANGINA PECTORIS

JAMA. 1956;160(10):868-871. doi:10.1001/jama.1956.02960450050012
Abstract

During the past two decades the similarity of angina produced by coronary arterial insufficiency and that produced by esophageal hiatus hernia has become generally recognized. Von Bergmann, in 1932, was among the first to point out this similarity. In 1933, Harrington reported 60 cases of hiatus hernia in which patients were treated surgically and pointed out the frequency with which the anginal syndrome occurred in them. By 1940 he had collected 198 cases of hiatus hernia and found many had been followed for years with the mistaken diagnosis of coronary arterial insufficiency.

Jones, in 1941, also pointed out the frequency with which the symptoms in patients suffering with hiatus hernia simulated organic heart disease. He indicated that the severity of the symptomatology was not necessarily related to the size of the hiatus hernias; small hernias could cause severe angina, and large hernias could exist without signs or symptoms. He found

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