Peptic esophagitis, hiatal hernia, and duodenal ulcer: A unified concept

摘要: P EPTIC ULCER is manifested by disorders of the lower esophagus, stomach, and duodenum resulting from or related to excessive production gastric acid. Peptic esophagitis, sliding esophageal hiatal hernia, duodenal ulcer, either singly in conjunction, are common expressions this disorder. In previous reports [1,2] association symptomatic hernia increased acid secretion as measured basal nocturnal twelve hour technic was documented. It reported that 82 per cent patients with hernias had levels 20 mEq. over contrasted a similar group asymptomatic whom consistently less than test period. Further studies eighty-eight presenting symptoms sufficient severity necessitate surgical correction have confirmed these findings; 80 (seventy patients) exhibited exceeding under conditions defined. believed responsible for commonly observed ulcer peptic esophagitis hernia. The stimulus undoubtedly activity vagus nerves, but whether precedes vagal results it still debatable.