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Surgical Repair of Sliding Esophageal Hiatal HerniaLong-Term Results
HUGH A. RAPHAEL, MD;
F. HENRY ELLIS, JR., MD;
HARLEY C. CARLSON, MD;
HOWARD A. ANDERSEN, MD
AMA Arch Surg. 1965;91(2):228-232.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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THE SURGICAL management of sliding esophageal hiatal hernia is currently under review in many institutions, as evidenced by the number and variety of operative procedures which have been proposed. Although most reports indicate that the majority of patients experience symptomatic improvement after operation, rates of recurrence, based on roentgenographic evidence, vary from 1 to 48%.1-3 Seldom, however, has the relationship of recurrence to symptomatic results been discussed, nor have the criteria for the diagnosis of a recurrent hernia been clearly stated. Furthermore, it has been suggested that simple operative reduction of the hernia may fail to control symptoms if esophagitis is present and that procedures designed to control gastric acidity are also desirable.4,5 In an effort to clarify these discrepancies and uncertainties, the present long-term follow-up study of patients who had operative repair of an uncomplicated sliding esophageal hiatal hernia at the Mayo Clinic was undertaken.
Materials and
. . . [Full Text PDF of this Article]
Author Affiliations
ROCHESTER, MINN
From the Mayo Clinic and Mayo Foundation, sections of surgery (Dr. Ellis), roentgenology (Dr. Carlson), and medicine (Dr. Andersen), Resident in surgery in the Mayo Graduate School of Medicine, University of Minnesota (Dr. Raphael).
Footnotes
Read before the 22nd Annual Meeting of the Central Surgical Association, Milwaukee, March 4-6, 1965.
Reprint requests to Mayo Clinic, Rochester, Minn 55901.
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