During the fifteen year period from Jan. 1, 1934 to Jan. 1, 1949 we observed as both inpatients and outpatients at the Jefferson Hospital, Philadelphia, 110 patients with esophageal hiatal hernia. It is the purpose of this report to present an analysis of this group of patients with particular reference to the problems of diagnosis and the indications for surgical therapy. Only patients with true esophageal hiatal hernia were included in the report; those patients with a congenital shortening of the esophagus were excluded. No significant sex predilection was noted in this series. There were 59 women and 51 men.
Esophageal hiatal hernia is primarily encountered in middle and later life, although the symptoms may begin in childhood when the hernia is congenital in origin. In this series of 110 cases, the youngest patient was 29 years of age and the oldest 78. There were 78 patients between the ages