RT Journal
T1 HIatus hernia
JF Journal of the American Medical Association
JO Journal of the American Medical Association
YR 1949
FD September 17
VO 141
IS 3
SP 203
OP 204
DO 10.1001/jama.1949.02910030033010
UL http://dx.doi.org/10.1001/jama.1949.02910030033010
AB Roentgenologic studies during two decades have demonstrated that hernia of the esophageal hiatus, once considered rare, is not infrequent. Brick1 notes that there were 308 hiatus hernias among 3,448 patients subjected to routine barium study of the upper part of the gastrointestinal tract during the years 1945 and 1946 in the Boston City Hospital. Ritvo2 pointed out in 1930 that the roentgenologic examination is the only means of arriving at the diagnosis of hiatus hernia, but that the patient must be studied in the prone, supine and oblique positions, since hiatus hernia is only rarely seen with the patient erect. Ritvo2 reported 60 cases of hiatus hernia, all diagnosed during routine roentgenologic examination of the stomach with the opaque meal. These occurred during a period in which about 8,000 cases of gastrointestinal disease were studied roentgenologically. According to Schnepp3 diaphragmatic hernia was noted in 0.02 to