Hiatus Hernia with Esophagitis and Acute Hemorrhage

Hood, Richard H.

doi:10.1001/jama.1962.03050420019005

Cited by 12 publications

(3 citation statements)

References 11 publications

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“…Bleeding was not a common problem in our patients though it has assumed considerable importance in other series (Dick and Hurst, 1942;Hood and McChesney, 1962;Marchand, 1960). rhree of the five patients who bled had endoscopic oesophagitis while the other two showed histological change only.…”

Section: Discussionmentioning

confidence: 60%

“…rhree of the five patients who bled had endoscopic oesophagitis while the other two showed histological change only. The occurrence of bleeding in the absence of obvious oesophagitis is well recognized (Hood and McChesney, 1962;Windsor and Collis, 1967). Blood loss in these cases may be due to frictional movement of the herniated gastric pouch within the hiatal margins (Windsor and Collis, 1967).…”

Section: Discussionmentioning

confidence: 99%

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The assessment of oesophagitis in hiatus hernia patients

As¹,

Dh²,

Jl³

1970

Thorax

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The incidence of oesophagitis has been determined in 108 patients with sliding hiatus hernias using endoscopic, histological, and radiological criteria. Particular consideration has been given to the relationship between inflammatory disease and clinical symptoms. All the patients were attending a thoracic surgical clinic and the spectrum of disease encountered was fairly severe; over half of the cases had established strictures when first seen. The incidence of oesophagitis based on endoscopic evidence was 76-9%. while inflammatory change was noted on biopsy in 56 2% and at barium swallow in 58-3% of the patients. Oesophagoscopy proved to be the most satisfactory method of assessment; biopsy specimens were either inadequate or correlated poorly with other criteria while barium swallow was of diagnostic value only in severe oesophagitis. The main symptoms were pain, heartburn with regurgitation, dysphagia, and bleeding. Dysphagia was common due to the preponderance of patients with strictures, while obvious bleeding was very uncommon. Endoscopic oesophagitis was found in 75% of the patients with specific retrosternal pain and in 600O, of those with heartburn and regurgitation. The inability to equate heartburn with oesophagitis is emphasized. The incidence of inflammatory change in patients with dysphagia was 8722% ; nearly all the cases in this group showed stricture formation.Gastro-oesophageal reflux occurs in most patients with symptomatic hiatus hernia and may produce an inflammatory reaction of varying severity in the lower oesophagus. There is no agreement, however, on the frequency with which this reaction occurs nor on the influence it may have on clinical symptoms. In the past, many of the symptoms in hiatus hernia patients have been loosely attributed to reflux oesophagitis without adequate objective evidence. This study was undertaken firstly to determine the incidence of

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Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 99%

The assessment of oesophagitis in hiatus hernia patients

As¹,

Dh²,

Jl³

1970

Thorax

View full text Add to dashboard Cite

show abstract

“…Ή διέγερσις αυτή μάλλον παρά ή φλεγμονή προκαλεί τον καΰσον. Ό Hood εξ άλλου παρατηρεί δτι, αί κυριότεραι παθολογοανατομικαί βλάβαι ανευρίσκονται εις τάς εν τω βάθει στιβάδας, και εις το χόριον τοΰ βλεννογόνου, και ή έπιπολής διάβρωσις είναι αποτέλεσμα της υποκείμενης βλάβης 101 . "Αλλοι συγγραφείς αποδίδουν τον καΰσον εις κινητικός διαταραχάς ή εις διάτασιν τοΰ οισοφάγου.…”

Section: ι πεπτικη οισοφαγιτιςunclassified