Does Hiatus Hernia Affect Competence of the Gastroesophageal Sphincter
作者： Sidney Cohen , Lauran D. Harris
DOI: 10.1056/NEJM197105132841902
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摘要: Abstract To measure the effect of a sliding (concentric) hiatus hernia on gastroesophageal sphincter competence, 75 patients were studied: 25 without esophageal symptoms and (Group A); but with B); severe reflux, or C). In Group C, 12 had hernia, 13 did not. Symptomatic readily separated from asymptomatic ones both by weaker base-line strength decreased sphincteric response to stimulus an increase in intraabdominal pressure. However, neither nor symptomatic groups could any be found. A apparently has no competence. The rationale for surgical repair reflux must therefore questioned.
sci-hub.se 参考文章(7)
Charles E. Pope, A Dynamic Test of Sphincter Strength: Its Application to the Lower Esophageal Sphincter Gastroenterology. ,vol. 52, pp. 779- 786 ,(1967) , 10.1016/S0016-5085(67)80065-9
Jean K. Haddad, Relation of Gastroesophageal Reflux to Yield Sphincter Pressures Gastroenterology. ,vol. 58, pp. 175- 184 ,(1970) , 10.1016/S0016-5085(70)80005-1
Farhad Ismail-Beigi, Paul F. Horton, Charles E. Pope, Histological consequences of gastroesophageal reflux in man. Gastroenterology. ,vol. 58, pp. 163- 174 ,(1970) , 10.1016/S0016-5085(70)80004-X
Sidney Cohen, Lauran D. Harris, Lower Esophageal Sphincter Pressure as an Index of Lower Esophageal Sphincter Strength Gastroenterology. ,vol. 58, pp. 157- 162 ,(1970) , 10.1016/S0016-5085(70)80003-8
Charles S. Winans, Lauran D. Harris, Quantitation of lower esophageal sphincter competence. Gastroenterology. ,vol. 52, pp. 773- 778 ,(1967) , 10.1016/S0016-5085(67)80064-7
McIver Dk, Lind Jf, Crispin Js, Manometric study of the effect of vagotomy on the gastroesophageal sphincter. Canadian Journal of Surgery. ,vol. 10, pp. 299- 303 ,(1967)
Wankling Wj, Warrian Wg, Lind Jf, Responses of the gastroesophageal junctional zone to increases in abdominal pressure. Canadian Journal of Surgery. ,vol. 9, pp. 32- 38 ,(1966)