Champault G, Michel F, Patel J C
Nouv Presse Med. 1978 Sep 30;7(33):2939-42.
Perforation into the free peritoneum of ulcers of the neck of hiatal hernias is a rare complication. On the basis of one case, which would appear to be the third reported in the literature but the only one in which the special circumstances resulted in the diagnosis being made preoperatively, the authors propose a new therapeutic attitude based upon the physiopathology of ulcers of the neck, combining suturing and reduction of the hernia with anterior repositioning of the greater curvature of the stomach, mobilised according to Thal's technique, and thereby simultaneously producing an anterior hemi-valve.
食管裂孔疝颈部溃疡穿孔至游离腹腔是一种罕见的并发症。基于一例病例（这似乎是文献中报道的第三例，但却是唯一一例因特殊情况而在术前做出诊断的病例），作者根据颈部溃疡的生理病理学提出了一种新的治疗方法，即将疝修补术与胃大弯的前位重新定位相结合，胃大弯按照塔尔技术进行游离，从而同时形成一个前半瓣膜。
