Abstract
The records of 100 patients operated on for hiatal hernia at Touro Infirmary, New Orleans, during the period 1953–1963 have been reviewed. The chief indication for operation was esophagitis in association with the hernia. Thirteen per cent of the patients had symptoms of obstruction. Two per cent were found at operation to have carcinoma of the cardia not detected on roentgenographic examination. Overlapping features of angina pectoris and hiatal hernia have been emphasized in one case study. That hiatal hernia provided the sole source of bleeding was the clinical inference in 6 per cent of the patients. At present the abdominal approach for repair is more commonly employed. Interest is being revived in combining repair with various procedures intended to decrease the effects of acid-peptic factors.
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