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April 1949


Author Affiliations


Arch Surg. 1949;58(4):411-418. doi:10.1001/archsurg.1949.01240030419001

HIATUS hernia is a far more frequent condition than has been generally accepted. It is not a rare thing. It is often overlooked, and the patients are treated for peptic ulcers, disease of the gallbladder or coronary heart disease. Of course, the same patient may have any of these conditions along with a hiatus hernia.

The allotted time will not permit a complete discussion of this subject, so we are confining it to a review of 24 cases which we have encountered in the last eighteen months at the Salt Lake Clinic. Incidentally, this is a larger number than was found in the previous thirty years. Our experience is probably not unique but goes to prove that once physicians are alerted to the existence of this type of hernia, it will be found much more frequently.

A thorough history will indicate definite symptoms suggestive of a hiatus hernia to the

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