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- 幕内 博康
- 慶応義塾大学外科学教室
書誌事項
- タイトル別名
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- CLINICAL STUDY OF ESOPHAGEAL HIATAL HERNIA
- 診断基準と程度分類を中心に
この論文をさがす
抄録
Based upon the findings obtained by esophageal radiological examinations, esophagoscopies and manometric studies, for sliding esophageal hernia, attempts were made to revise diagnostic criteria and classifications, which were then applied clinically.<br>The mucosal esophagogastric junctions by endoscopy coincide well with the muscular esophagogastric junctions in X-ray study in 85.7% of the cases and with the lower esophageal sphincter in manometric study in 77.1%, which made us believe the mucosal junction, muscular junction and LES situate in the identical region. The newly established endoscopical and radiographical classifications showed good correlation in more than 70% of the cases.<br>Esophageal manometric study showed that significantly elongated high pressure zone in hiatal hernia had double peaks in 81.5% of the cases, and that only its oral peak responded to gastrin administration (4, μg/kg).<br>With wider clinical application of new criteria and classification, the incidence of hiatal hernia in Japan has been found to be 17.8%, and it increases with aging. There appears no difference in sex distribution. Reflux esophagitis is observed quite frequently among the patients with hiatal hernia.
収録刊行物
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- 日本消化器病学会雑誌
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日本消化器病学会雑誌 79 (8), 1557-1567, 1982
一般財団法人 日本消化器病学会