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Herniation of a portion of the cardiac end of the stomach through the esophageal hiatus in the diaphragm occurs with considerable frequency. It may be found in the course of routine examination of the gastro-intestinal tract, and it may occur without producing symptoms or may give rise to a great deal of discomfort. In many instances dysphagia is a prominent symptom.
The hernia may be the rarer type with so-called congenital shortening of the esophagus, in which a short benign stricture is responsible for dysphagia, or it may be the usual type in which a portion of the stomach herniates through the enlarged esophageal hiatus along the esophagus—the para-esophageal type of hernia.
In cases of the latter type of hernia difficulty in swallowing may be mild and intermittent or it may be so severe that esophageal obstruction is apparently complete for several hours at a time. This symptom
VINSON PP, MOERSCH HJ. PARA-ESOPHAGEAL DIAPHRAGMATIC HERNIA ASSOCIATED WITH INTRINSIC LESIONS IN THE ESOPHAGUS: REPORT OF CASES. Arch Otolaryngol. 1935;21(4):437–441. doi:10.1001/archotol.1935.00640020449005
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