A new type of sliding hiatus hernia.

Abstract:

:A series of patients showing a previously unrecognized type of sliding hiatus hernia is presented and analyzed. This type of hernia is characterized by reflux of the mucous membrane of the Hiss angle into the lumen of the esophagus. The occurrence of mucosal prolapse is a secondary phase of gastroesophageal reflux. The mucous plug prevents further reflux of the acid contents of the stomach into the esophagus and mouth. After the appearance of mucosal prolapse, the symptoms and signs of esophagitis disappear. The most characteristic complaint of the patients is retrosternal pain on lying and bending down. Endoscopy with provocative tests reveals the mucosal prolapse. Tooth erosions due to previous acid reflux into the mouth are diagnostic. The symptoms of this new subtype of sliding hiatus hernia were cured by the Nissen fundoplication.

journal_name

Ann Surg

journal_title

Annals of surgery

authors

Myllärniemi H,Saario I

doi

10.1097/00000658-198508000-00004

subject

Has Abstract

pub_date

1985-08-01 00:00:00

pages

159-61

issue

2

eissn

0003-4932

issn

1528-1140

journal_volume

202

pub_type

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