The cause of dysphagia in uncomplicated sliding hiatal hernia and its relief by hiatal herniorrhaphy. A roentgenographic, manometric, and clinical study

B. K. Kaul, T. R. DeMeester, M. Oka, C. S. Ball, H. J. Stein, C. B. Kim, Shih-Chuan Cheng

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Patients with an uncomplicated sliding hiatal hernia frequently experience dysphagia. The present study shows, using video barium contrast esophagograms, that the cause of dysphagia in 60% of these patients is an obstruction to the passage of the swallowed bolus by diaphragmatic impingement on the herniated stomach. Manometrically this was reflected by a double-hump high pressure zone (HPZ) at the gastroesophageal junction, and specifically to the length and amplitude of the distal HPZ and the length of the intervening segment between the two HPZs. The former represents the degree of the daphragmatic impingement on the herniated stomach and the latter the size of the supradiaphragmatic herniated stomach. Surgical reduction of the hernia resulted in relief of dysphagia in 91% of the patients.

Original languageEnglish (US)
Pages (from-to)406-410
Number of pages5
JournalAnnals of Surgery
Volume211
Issue number4
StatePublished - 1990

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Hiatal Hernia
Herniorrhaphy
Deglutition Disorders
Stomach
Pressure
Esophagogastric Junction
Barium
Hernia
Clinical Studies

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

The cause of dysphagia in uncomplicated sliding hiatal hernia and its relief by hiatal herniorrhaphy. A roentgenographic, manometric, and clinical study. / Kaul, B. K.; DeMeester, T. R.; Oka, M.; Ball, C. S.; Stein, H. J.; Kim, C. B.; Cheng, Shih-Chuan.

In: Annals of Surgery, Vol. 211, No. 4, 1990, p. 406-410.

Research output: Contribution to journalArticle

Kaul, B. K. ; DeMeester, T. R. ; Oka, M. ; Ball, C. S. ; Stein, H. J. ; Kim, C. B. ; Cheng, Shih-Chuan. / The cause of dysphagia in uncomplicated sliding hiatal hernia and its relief by hiatal herniorrhaphy. A roentgenographic, manometric, and clinical study. In: Annals of Surgery. 1990 ; Vol. 211, No. 4. pp. 406-410.
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abstract = "Patients with an uncomplicated sliding hiatal hernia frequently experience dysphagia. The present study shows, using video barium contrast esophagograms, that the cause of dysphagia in 60{\%} of these patients is an obstruction to the passage of the swallowed bolus by diaphragmatic impingement on the herniated stomach. Manometrically this was reflected by a double-hump high pressure zone (HPZ) at the gastroesophageal junction, and specifically to the length and amplitude of the distal HPZ and the length of the intervening segment between the two HPZs. The former represents the degree of the daphragmatic impingement on the herniated stomach and the latter the size of the supradiaphragmatic herniated stomach. Surgical reduction of the hernia resulted in relief of dysphagia in 91{\%} of the patients.",
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