• 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.
Myre TT, Kirklin JW, Andersen HA, Clagett OT. SURGICAL CONSIDERATIONS IN TREATMENT OF ESOPHAGEAL HIATAL HERNIA. JAMA. 1957;164(2):147–150. doi:10.1001/jama.1957.02980020027006
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