Physiological Repair for Hiatus Hernia—Manometric Study

摘要: V ARIOUS operations have been devised for the surgical treatment of reflux esophagitis associated with hiatus hernia. (Belsey 1 has designed an operation in which fundus stomach is wrapped around distal esophagus.) Our studies on mechanisms gastroesophageal sphincter normal subjects and patients hernia suggested that principle this would lead to reconstitution a mechanism at junction. This hypothesis was tested by studying pressure characteristics region, before after repair. There previous region 2-4 study demonstrated could be classified into two groups. 4 In one group, maximum within limits there sphincteric response abdominal compression. These did not endoscopic evidence