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 language | English (US) |
|---|---|
| Pages (from-to) | 406-410 |
| Number of pages | 5 |
| Journal | Annals of Surgery |
| Volume | 211 |
| Issue number | 4 |
| State | Published - 1990 |
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All Science Journal Classification (ASJC) codes
- Surgery
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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 journal › Article
}
TY - JOUR
T1 - The cause of dysphagia in uncomplicated sliding hiatal hernia and its relief by hiatal herniorrhaphy. A roentgenographic, manometric, and clinical study
AU - Kaul, B. K.
AU - DeMeester, T. R.
AU - Oka, M.
AU - Ball, C. S.
AU - Stein, H. J.
AU - Kim, C. B.
AU - Cheng, Shih-Chuan
PY - 1990
Y1 - 1990
N2 - 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.
AB - 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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UR - http://www.scopus.com/inward/citedby.url?scp=0025233950&partnerID=8YFLogxK
M3 - Article
VL - 211
SP - 406
EP - 410
JO - Annals of Surgery
JF - Annals of Surgery
SN - 0003-4932
IS - 4
ER -