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Article
May 11, 1957

SURGICAL CONSIDERATIONS IN TREATMENT OF ESOPHAGEAL HIATAL HERNIA

JAMA. 1957;164(2):147-150. doi:10.1001/jama.1957.02980020027006
Abstract

• Operations to correct esophageal hiatal hernia were done in 113 patients. Symptoms ascribed to it were present before operation in 78% of the patients, and there had been gastrointestinal bleeding in 19%. The hernia proved to be of the sliding type in 97 patients and of the paraesophageal (rolling) type in 16. Surgical repair can be done from either a thoracic or an abdominal approach. The latter was used in 57% of the cases and has the advantage that it may lead to the recognition and correction of intra-abdominal disease. Relief of symptoms was accomplished in most patients. The observed recurrence rate of 10% or more was such as to discourage attempts to repair small, asymptomatic esophageal hiatal hernias.

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