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December 1955

Esophagitis, Hiatus Hernia, and Cardiospasm: Surgical Considerations

AMA Arch Intern Med. 1955;96(6):724-730. doi:10.1001/archinte.1955.00250170030004

Esophagitis is present in only a small minority of the more than 500 patients with hiatal hernias and cardiospasm who are seen at the Lahey Clinic annually. This report will be concerned with only those cases complicated by esophagitis. The majority of small and even large hiatal hernias reduce readily on change of position and frequently are characterized by litte or no symptomatology. They are simply noted in passing by the fluoroscopist and are not considered an indication for medical or surgical therapy.

Nevertheless, esophagitis, when it develops, is a serious complication, and, inasmuch as several factors may be involved, each patient must be treated on an individual basis and followed for a long period of time. At the Lahey Clinic we have studied almost 100 cases of esophagitis in its various manifestations. A number of these have been isolated cases of inflammation of varying degrees, usually in the lower