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Does Hiatus Hernia Affect Competence of the Gastroesophageal Sphincter?
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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Citations
Cited by
Koufman, J. A. (1991) · The Laryngoscope · doi:10.1002/lary.1991.101.s53.1 · Cited by 1,647
Dent, J., Holloway, R. H., Toouli, J., & Dodds, W. J. (1988) · Gut · doi:10.1136/gut.29.8.1020 · Cited by 586
Gastric emptying in patients with gastroesophageal reflux
Mccallum, R. W., Berkowitz, D. M., & Lerner, E. (1981) · Gastroenterology · doi:10.1016/0016-5085(81)90716-2 · Cited by 403
Sloan, S., Rademaker, A. W., & Kahrilas, P. J. (1992) · Annals of Internal Medicine · doi:10.7326/0003-4819-117-12-977 · Cited by 276
The role of the hiatus hernia in gastro‐oesophageal reflux disease
Gordon, C., Kang, J. Y., Neild, P. J., & Maxwell, J. D. (2004) · Alimentary Pharmacology & Therapeutics · doi:10.1111/j.1365-2036.2004.02149.x · Cited by 204
Metadata
- Authors
- Cohen, S., & Harris, L. D.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- 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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- 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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