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Achalasia and Hiatus Hernia of the Esophagus T. Hirashima 1 , T. Hara 1 , H. Takeuchi 1 , M. Muto 1 , K. Kuga 1 1The 2nd Dept. of Surg. Chiba University pp.721-727
Published Date 1976/6/25
DOI https://doi.org/10.11477/mf.1403107288
  • Abstract
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 The above-mentioned study relates to the pathophysiology and diagnosis of achalasia which is caused by the disturbance of esophageal motility, the failure of relaxation and closure of the inferior esophageal sphincter. The diagnosis of achalasia can be confirmed by the X-ray examinations, esophagoscopy and manometry, and there is as yet no general agreement but diagnostic criteria about classification of achalasia is becoming firm at present. The present communication introduces the interrelationship among the classifications base on the X-ray findings (by Japanese Society of Esophageal Diseases), esophagoscopic findings and manometric studies (both by our department).

 Also, the present communication relates to hiatus hernia, the clinical complains of which were statistically observed by the enquete and anamnesis for 177 cases of this disease which were experienced in our department for the past ten years since 1965. The present communication additionally relates to the following : hiatus hernia has only received physical diagnosis by the X-ray examinations and esophagoscopy. In our department, however, pathophysiologic and clinical significance have been understood by the usage of physiological examinations such as manometric studies and intraluminal pH measurement. Especially these physiological examinations are very useful for slight hiatus hernia.

 The necessity of manometric studies and intraluminal pH measurement in addition to the X-ray examinations and esophagoscopy is emphasized for the functional disease of esophagus such as achalasia and hiatus hernia.


Copyright © 1976, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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