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Reflux Esophagitis and Hiatus Hernia S. Kobayashi 1 , F. Kato 1 , T. Kasugai 1 1The First Department of Internal Medicine, Aichi Cancer Center Hospital pp.1141-1146
Published Date 1983/11/25
DOI https://doi.org/10.11477/mf.1403109255
  • Abstract
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 A relationship between reflux esophagitis and sliding hiatus hernia has been controversial for a long time. Before 1960, most clinical investigators regarded sliding hiatus hernia as a causative factor in the development of reflux esophagitis. However, it had never been clearly explained why some patients with sliding hiatus hernia had reflux esophagitis and some did not. Later, most research has been focused on the lower esophageal sphincter and not on the hernia, in order to solve this controversy. The concept that the presence of gastroesophageal reflux is determined by the amplitude of lower esophageal sphincter pressure has been widely accepted, but a new question why reflux esophagitis develops in only a half the patients with gastroesophageal reflux was raised. Some investigators suggested in this regard that the development of esophagitis in patients with an incompetent cardia is related to impaired esophageal clearance and delayed gastric emptying. The authors feel that the controversy on this subject seems to be continuing in the future.


Copyright © 1983, 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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