Jonsell G
Acta Chir Scand. 1983;149(1):63-7.
The incidence of sliding hiatal hernias in 44 patients operated upon for gastroesophageal reflux has been analysed. Preoperative X-ray and endoscopy were carried out in all patients. Esophageal manometry was made in 26 patients and preoperative pH-measurements were made in 22 patients. Sliding hiatal hernia was found by X-ray examination in 24 patients. The incidence of hiatal hernia was increasing with age, while the reflux disease in the non-hiatal hernia patients was equally distributed in different age groups. The low incidence of hiatal hernias, especially in young patients with reflux, implies that the indications for surgery ought to be based on the demonstration of reflux itself, and not on the radiological demonstration of hiatal hernia. The low incidence of radiologic reflux means that X-ray alone never can exclude even severe reflux disease.
对44例因胃食管反流接受手术的患者滑动性食管裂孔疝的发生率进行了分析。所有患者均进行了术前X线检查和内镜检查。26例患者进行了食管测压，22例患者进行了术前pH值测量。通过X线检查发现24例患者存在滑动性食管裂孔疝。食管裂孔疝的发生率随年龄增加而升高，而非食管裂孔疝患者的反流性疾病在不同年龄组中分布均匀。食管裂孔疝的低发生率，尤其是在年轻的反流患者中，意味着手术指征应基于反流本身的证实，而非食管裂孔疝的影像学表现。放射学反流的低发生率意味着仅靠X线检查永远无法排除甚至严重的反流性疾病。
