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Digestive Diseases and Sciences

, Volume 24, Issue 4, pp 311–313 | Cite as

Relationship of hiatal hernia to endoscopically proved reflux esophagitis

  • Richard A. Wright
  • Alfred L. Hurwitz
Original Articles

Abstract

The relationship between reflux esophagitis and hiatal hernia was studied using fiberoptic endoscopy. Of 293 patients having upper-gastrointestinal endoscopy during an 18-month period, 64 (22%) had a hiatal hernia and 38 (13%) had esophagitis. Half the patients with a hiatal hernia had esophagitis, whereas the vast majority (84%) of patients with esophagitis had a concomitant hiatal hernia. The association between esophagitis and hiatal hernia was highly significant (P<0.0001). There was no statistically significant association between the size of the hiatal hernia and the degree of esophagitis on endoscopy. A permissive role of hiatal hernia in the genesis of reflux esophagitis is suggested.

Keywords

Public Health Esophagitis Hiatal Hernia Reflux Esophagitis Permissive Role 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Digestive Disease Systems, Inc. 1979

Authors and Affiliations

  • Richard A. Wright
    • 1
    • 2
  • Alfred L. Hurwitz
    • 1
    • 2
  1. 1.Gastroenterology SectionVeterans Administration HospitalSan Francisco
  2. 2.Department of Medicinethe University of CaliforniaSan Francisco

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