A very extensive literature has accumulated on the subject of hiatus hernia. Numerous reports have emphasized the importance of the entity, particularly in view of the fact that in many instances signs and symptoms are referred to the anterior chest rather than to the abdomen,1 and patients are treated for long periods of time with diagnoses of heart disease and other serious lesions before a correct diagnosis is made. Roentgen methods of diagnosis by use of the opaque meal are well established and in common use2; however it is not generally realized that the diagnosis of this condition can be made in many instances without the use of the barium meal, although references to this subject occur in the literature. Among others, Teplick and Macht3 mention the fact that hiatus hernias can be suspected in some instances on miniature chest roentgenograms, and LaPointe4 has reported six
O'Connor FJ, Ritvo M. DIAGNOSIS OF HIATUS HERNIA ON PLAIN ROENTGENOGRAMS OF THORAX AND ABDOMEN. JAMA. 1955;157(2):113–117. doi:10.1001/jama.1955.02950190013003
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