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Cited by 380

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Does Hiatus Hernia Affect Competence of the Gastroesophageal Sphincter?

Cohen, Sidney, Harris, Lauran D.·1971·New England Journal of Medicine

Abstract

To measure the effect of a sliding (concentric) hiatus hernia on gastroesophageal sphincter competence, 75 patients were studied: 25 patients without esophageal symptoms and without hiatus hernia (Group A); 25 patients without esophageal symptoms but with hiatus hernia (Group B); and 25 patients with symptoms of severe gastroesophageal reflux, with or without a hiatus hernia (Group C). In Group C, 12 patients had a hiatus hernia, and 13 did not. Symptomatic patients were readily separated from asymptomatic ones both by a weaker base-line sphincter strength and by decreased sphincteric response to the stimulus of an increase in intraabdominal pressure. However, in neither the asymptomatic nor the symptomatic groups of patients could any effect of hiatus hernia be found. A hiatus hernia apparently has no effect on gastroesophageal sphincter competence. The rationale for surgical repair of hiatus hernia in patients with gastroesophageal reflux must therefore be questioned.

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Metadata

Authors
Cohen, S., & Harris, L. D.
Venue
New England Journal of Medicine
Published
1971-05-13
Volume
284
Issue
19
Pages
1053-1056
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2330597015
Cited by
380
References
0
FWCI
48.76
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Does Hiatus Hernia Affect Competence of the Gastroesophageal Sphincter? https://app.cochat.ai/papers/10.1056/nejm197105132841902
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Cohen, S., & Harris, L. D. (1971). Does Hiatus Hernia Affect Competence of the Gastroesophageal Sphincter? New England Journal of Medicine. https://doi.org/10.1056/nejm197105132841902

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.