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WILLIAM P. KLEITSCH, M.D.

AMA Arch Surg. 1952;65(5):665-672.

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

AN ESOPHAGEAL hiatus hernia is frequently asymptomatic or unsuspected until it is discovered accidentally when roentgenograms of the gastrointestinal tract are made because of other pathology.¹ Not uncommonly, however, such hernias do produce symptoms. It is important to note that these symptoms, although mild and intermittent, form a definite symptom complex if truly caused by hiatus hernia. This symptom complex consists of substernal or epigastric pain, acid eructations, and, most characteristically, aggravation of the pain precipitated by maneuvers which increase intra-abdominal pressure.²

Because of the fact that many esophageal hiatus hernias are asymptomatic and many of those that are symptomatic are only mildly so, there has been a controversy as to what should be done about them. Errors in diagnosis are frequent, and the significance of hiatus hernia is often overlooked. Frequently the dilemma is solved (?) by the physician by prescribing medical treatment consisting of a bland . . . [Full Text PDF of this Article]

Author Affiliations
OMAHA

From the Departments of Surgery of the Creighton University School of Medicine and the United States Veterans Hospital.

Footnotes
Sponsored by the Veterans Administration and published with the approval of the Chief Medical Director. The statements and conclusions published by the author are a result of his own study and do not necessarily reflect the opinion or policy of the Veterans Administration.

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