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WILLIAM C. GARDNER, M.D.; JOHN B. HARTZELL, M.D.; WILLIAM M. TUTTLE, M.D.

AMA Arch Surg. 1952;65(4):564-569.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

ESOPHAGEAL hiatus hernia is a clinically demonstrable lesion more frequently than may be generally realized. Schatzke¹ stated that by using greater than normal intra-abdominal pressure during fluoroscopic examination, hiatus hernia can be demonstrated in 70% of patients over 60 years of age. Most of these lesions are asymptomatic, and most of those with mild symptoms may respond to conservative therapy. A few, however, may be attended by symptoms and signs sufficiently grave to demand surgical intervention.

The repair of hiatus hernia may not be a simple procedure; moreover, the rate of recurrence following conventional techniques is almost prohibitive. Soutter,² for instance, in analyzing the results of hiatus hernia repair at Massachusetts General Hospital found a recurrence rate of 14% following the transthoracic approach and a rate in excess of 40% in those patients treated by the abdominal route. One of us had the disconcerting experience of having seen . . . [Full Text PDF of this Article]

Author Affiliations
ANN ARBOR, MICH.; DETROIT

Former Resident in General Surgery, the Jennings Memorial Hospital, Detroit (Dr. Gardner).; From the Department of Surgery, Wayne University College of Medicine, and the Surgical Department of Harper Hospital, and the Jennings Memorial Hospital (Drs. Hartzell and Tuttle).

Footnotes
Read at the Ninth Annual Meeting of the Central Surgical Association, Toronto, Canada, March 8, 1952.

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