Forni E, Pini G, Molinari M
Chir Ital. 1979 Oct;31(5):663-9.
On the basis of 310 cases of hiatal hernia surgically treated, the anatomical, pathophysiological and clinical aspects are reviewed together with their surgical consequences. In rolling type hernia, gastroesophageal reflux and its sequelae do not occur: the treatment is based only on reduction and suture of the fundus to the undersurface of the diaphragm with repair of right crus. In sliding hiatal hernia the purpose of operation is functional one, that is satisfactory and lasting control of gastro-esophageal reflux. With one exception, the fundamental step of all successful procedures of repair is the creation of restoration of an infradiaphragmatic segment of esophagus: it puts the lower esophageal sphincter into the abdominal cavity with restoration of gastroesophageal competence.
基于310例接受手术治疗的食管裂孔疝病例，对其解剖学、病理生理学和临床方面及其手术结果进行了综述。在滚动型疝中，不会发生胃食管反流及其后遗症：治疗仅基于将胃底还原并缝合至膈肌下表面并修复右侧膈脚。在滑动型食管裂孔疝中，手术目的是功能性的，即令人满意且持久地控制胃食管反流。除了一例例外，所有成功修复手术的基本步骤是恢复食管膈下部分：它将食管下括约肌置于腹腔内，恢复胃食管功能。
