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Pathogenese von Hiatushernie und Kardiainsuffizienz

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Part of the book series: Interdisziplinäre Gastroenterologie ((GASTROENTEROLOG))

Zusammenfassung

Als Hiatushernie wird eine Verlagerung des gastrooesophagealen Übergangs und/oder des Magenfundus vom Abdominalraum durch den Hiatus oesophageus in den Thoraxraum bezeichnet. Nicht unter diesen Begriff fallen vorübergehende Verschiebungen des gastrooesophagealen Überganges ins Mediastinum, wie sie beispielsweise beim Schluckakt oder bei der Atmung vorkommen. Ebenfalls nicht als Hiatushernien, sondern als deren Vorformen werden die „malposition cardiotuberositaire“ [71] und die “hiatal hernia without a sac” [102] betrachtet.

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Literatur

  1. Baldwin JA (1978) Cholelithiasis and Hiatus Hernia. Lancet II: 992

    Article  Google Scholar 

  2. Bassey OO, Eyo EE, Akinhanmi GA (1977) Incidence of hiatus hernia and gastrooesophageal reflux in 1030 prospective barium meal examinations in adult Nigerians. Thorax 32: 356–359

    Article  PubMed  CAS  Google Scholar 

  3. Biancani P, Goyal RK, Phillips A, Spiro HM (1973) Mechanics of sphincteraction. Studies on the lower esophageal sphincter. J Clin Invest 52: 2973–2978

    Article  PubMed  CAS  Google Scholar 

  4. Blum AL, Siewert JR (1979) Hat die axiale Hiatushernie einen Krankheitswert? Schweiz Med Wochenschr 109: 1977–1981

    PubMed  CAS  Google Scholar 

  5. Bombeck CT, Dillard DH, Nyhus LM (1966) Muscular anatomy of the gastrooesophageal junction and the role of the phrenoesophageal ligament. Ann Surg 164: 643–654

    Article  PubMed  CAS  Google Scholar 

  6. Brown FC, Dubois A, Castell DO (1978) Histaminergic pharmacology of primate lower esophageal sphincter. Am J Physiol 235: E42 - E46

    PubMed  CAS  Google Scholar 

  7. Brühlmann T, Brühlmann-Keller H, Thalmann R, Sonnenberg A, Schmid P, Blum AL (1978) Chirurgische Therapie der axialen Hiatushernie und der Refluxkrankheit. 1. Resultat einer Umfrage unter den Schweizer Chirurgen (1977). Schweiz Med Wochenschr 108: 1413–1420

    PubMed  Google Scholar 

  8. Burkitt DP, James PA (1973) Low-residue diets and hiatus hernia. Lancet II: 128–130

    Article  Google Scholar 

  9. Burkitt DP, Walker ARP (1976) Saint’s triad: confirmation and explanation. S Afr Med J 50: 2136–2138

    PubMed  CAS  Google Scholar 

  10. Butterfied DG, Struthers JE, Showalter JP (1972) A test of gastroesophageal sphincter competence. The common cavity test. Dig Dis Sci 17: 415–421

    Article  Google Scholar 

  11. Capron JP, Payenneville H, Dumont M, Dupas JL, Lorriaux A (1978) Evidence for an association between cholelithiasis and hiatus hernia. Lancet II: 329–31

    Google Scholar 

  12. Castell DO, Harris LD (1970) Hormonal control of gastroesophageal sphincter-strength. N Engl J Med 282: 886–889

    Article  PubMed  CAS  Google Scholar 

  13. Castell DO, Levine SM (1971) Lower esophageal sphincter response to gastric alkalinization. A new mechanism for treatment of heartburn with antacids. Ann Intern Med 74: 223–227

    PubMed  CAS  Google Scholar 

  14. Chattopadhyay DK, Pope II CE (1979) Lower esophageal sphincter pressure’s variability destroys its usefulness. Gastroenterology 76: 1111

    Google Scholar 

  15. Christensen J, Conklin JL, Freeman BW (1973) Physiologic specialization at the esophagastric junction in three species. Am J Physiol 225: 1265–1270

    PubMed  CAS  Google Scholar 

  16. Clark J, DeMeester TR, Skinner DB, Shields R (1976) Re-examination of the response of the lower oesophageal high pressure zone to abdominal compression. Br J Surg 63: 665

    PubMed  CAS  Google Scholar 

  17. Cohen S, Harris LD (1971) Does hiatus hernia affect competence of the gastroesophageal sphincter? N Engl J Med 284: 1053–1056

    Article  PubMed  CAS  Google Scholar 

  18. Condon RE, Kraus MA, Wollheim D (1976) Cause of increase in lower esophageal sphincter pressure after fundoplication. J Surg Res 20: 445–450

    Article  PubMed  CAS  Google Scholar 

  19. Dagradi AE (1977) Hiatushernia and the location of Mallory-Weiss-lesions. Gastroenterology 72: 987

    PubMed  CAS  Google Scholar 

  20. Csendes A, Oster M, Brandsborg O, Möller J, Brandsborg M, Amdrup E (1978) Gastroesophageal sphincter pressure and serum gastrin studies following food intake before and after vagotomy for duodenal ulcer. Scand J Gastroenterol 13: 437–441

    Article  PubMed  CAS  Google Scholar 

  21. Csendes A, Oster M, Brandsborg O, Möller JT, Overgaard H, Brandsborg M, Funch-Jensen P, Amdrup E (1979) The effect of vagotomy on human gastroesophageal sphincter pressure in the resting state and following increases in intraabdominal pressure. Surgery 85: 419–424

    PubMed  CAS  Google Scholar 

  22. DeMeester TR, Johnson LF (1975) Position of the distal sphincter and its relationship to reflux. Surg Forum 26: 346–366

    Google Scholar 

  23. DeMeester TR, Johnson LF, Joseph GJ, Toscano MS, Hall AW, Skinner DB (1976) Patterns of gastroesophageal reflux in health and disease. Ann Surg 184: 459–470

    Article  PubMed  CAS  Google Scholar 

  24. DeMeester TR, Wernly JA, Bryant GH, Little AG, Skinner DB (1979) Clinical and in vitro analysis of determinants of gastroesophageal competence. A study of the principles of anti reflux surgery. Ann J Surg 137: 1979

    Article  Google Scholar 

  25. Dent J (1976) A new technique for continuous sphincter pressure measurements. Gastroenterology 71: 263–267

    PubMed  CAS  Google Scholar 

  26. Dent J, Dodds WJ, Friedman RH, Sekiguchi T, Hogan WJ, Arndorfer RC, Petrie DJ (1980) Mechanism of gastroesophageal reflux in recumbent asymptomatic human subjects. J Clin Invest 65: 256–261

    Article  PubMed  CAS  Google Scholar 

  27. Dodds WJ, Hogan WJ, Miller WN, Barras RF, Stef JJ (1975) Relationship between serum gastrin concentration and lower-esophageal sphincter pressure. Am J Dig Dis 20: 201–207

    Article  PubMed  CAS  Google Scholar 

  28. Dodds WJ, Hogan WJ, Miller WN, Stef JJ, Arndorfer RC, Lydon SB (1975) Effect of increased intraabdominal pressure on lower esophageal sphincter pressure. Am J Dig Dis 20: 298–308

    Article  PubMed  CAS  Google Scholar 

  29. Dodds WJ, Dent J, Hogan WJ (1978) Pregnancy and the lower esophageal sphincter. Gastroenterology 74: 1334–1335

    PubMed  CAS  Google Scholar 

  30. Dyer NH, Pridie RB (1968) Incidence of hiatus hernia in asymptomatic subjects. Gut 9: 696–699

    Article  PubMed  CAS  Google Scholar 

  31. Eckardt VF, Grace ND, Osborne MP, Fischer JE (1978) Lower esophageal sphincter pressure and serum gastrin levels after mapped antrectomy. Arch Intern Med 138: 243–245

    Article  PubMed  CAS  Google Scholar 

  32. Edwards DA (1974) Hiatushernia reflux syndrome. Postgrad Med J 50: 189–193

    Article  PubMed  CAS  Google Scholar 

  33. Edwards DA (1978) Reminiscences on the antireflux mechanism. South Med J [Suppl l] 71: 1–7

    Google Scholar 

  34. Eliska O (1973) Phreno-oesophageal membrane and its role in the development of hiatus hernia. Acta Anat (Basel) 86: 137–150

    Article  CAS  Google Scholar 

  35. Farrell RL, Nebel O, McGuire AT, Castell DO (1973) The abnormal lower esophageal sphincter in pernicious anaemia. Gut 14: 767–772

    Article  PubMed  CAS  Google Scholar 

  36. Farrell RL, Castell DO, McGuigan JE (1974) Measurements and comparisons of lower esophageal sphincter pressures and serum gastrin levels in patients with gastroesophageal reflux: mechanism of action. Am J Dig Dis 23: 152–160

    Google Scholar 

  37. Fischer RS, Roberts GS, Grabowski CJ, Cohen S (1978) Altered lower esophageal sphincter function during early pregnancy. Gastroenterology 74: 1233–1237

    Google Scholar 

  38. Fournet J, Snape WJ Jr, Cohen S (1979) Sympathetic control of lower esophageal sphincter function in the cat. Action of direct cervical and splanchnic nerve stimulation. J Clin Invest 63: 562–570

    Article  PubMed  CAS  Google Scholar 

  39. Freeland GR, Higgs RH, Castell DO, McGuigan JE (1976) Lower esophageal Sphincter and gastric acid response to intravenous infusions of synthetic human gastrin I heptadecapeptide. Gastroenterology 71: 570–574

    PubMed  CAS  Google Scholar 

  40. Gonella J, Niel JP, Roman C (1977) Vagal control of lower oesophageal sphincter motility in the cat. J Physiol (Lond) 273: 647–664

    CAS  Google Scholar 

  41. Gonella J, Niel JP, Roman C (1979) Sympathetic control of lower oesophageal sphincter motility in the cat. J Physiol (Lond) 287: 177–190

    CAS  Google Scholar 

  42. Goyal RK, McGuigan JE (1976) Is gastrin a major determinant of basal lower esophageal sphincter pressure? A double-blind controlled study using high titer gastrin antiserum. J Clin Invest 57: 291–300

    Article  PubMed  CAS  Google Scholar 

  43. Goyal RK, Rattan S (1976) Genesis of basal sphincter pressure: Effect of tetrodotoxin on lower esophageal sphincter pressure in opossum in vivo. Gastroenterology 71: 62–67

    PubMed  CAS  Google Scholar 

  44. Goyal RK, Rattan S (1978) Neurohumoral, hormonal, and drug receptors for the lower esophageal sphincter. Gastroenterology 74: 598–619

    PubMed  CAS  Google Scholar 

  45. Goyal RK, Biancani P, Phillips A, Spiro HM (1971) Mechanical properties of the esophageal wall. J Clin Invest 50: 1456

    Article  PubMed  CAS  Google Scholar 

  46. Hafter E (1974) Hiatushernia. In: Vantrappen G, Hellemans J (Hrsg) Diseases of the esophagus. Springer, Berlin Heidelberg New York. Handbuch der Inneren Medizin Bd III/1, S 741–782

    Google Scholar 

  47. Hauser R, Dodds WJ, Patel GK, Dent J, Hogan WJ, Arndorfer RC (1979) Mechanism of gastroesophageal reflux ( GER) in patients with reflux esophagitis. Gastroenterology 76: 1153

    Google Scholar 

  48. Henderson JM, Lidgard G, Osborne DH, Carter DC, Heading RC (1978) Lower oesophageal sphincter response to gastrin-pharmacological or physiological? Gut 19: 99–102

    Article  PubMed  CAS  Google Scholar 

  49. Higgs RH, Smyth RD, Castell DO (1974) Gastric alkalinization. Effect on loweresophageal-sphincter pressure and serum gastrin. N Engl J Med 291: 486–490

    Article  PubMed  CAS  Google Scholar 

  50. Higgs RH, Humphries TJ, Castell DO, McGuigan JE (1976) Lower esophageal sphincter pressures and serum gastrin levels after cholinergic stimulation. Am J Physiol 231: 1250–1253

    PubMed  CAS  Google Scholar 

  51. Isenberg JI, Csendes A, Walsh SH (1971) Resting and pentagastrin-stimulated gastroesophageal sphincter pressure in patients with Zollinger-Ellison syndrome. Gastroenterology 61: 655–658

    PubMed  CAS  Google Scholar 

  52. Jackson AJ (1978) The spiral constrictor of the gastroesophageal junction. Am J Anat 151: 265–275

    Article  PubMed  CAS  Google Scholar 

  53. Jennewein HM, Hummelt H, Siewert R, Waldeck F (1976) The effect of intravenous infusion of synthetic human gastrin-I on lower esophageal sphincter ( LES) pressure in the dog and its relation to gastrin level. Digestion 14: 376–380

    Article  PubMed  CAS  Google Scholar 

  54. Kaye MD (1977) Postprandial gastro-oesophageal reflux in healthy people. Gut 18: 709–712

    Article  PubMed  CAS  Google Scholar 

  55. Kaye MD, Rein R, Johnson WP, Showalter JP (1976) Responses of the competent and incompetent lower oesophageal sphincter to pentagastrin and abdominal compression. Gut 17: 933–939

    Article  PubMed  CAS  Google Scholar 

  56. Khan TA, Crispin JS, Lind JF (1974) Effect of change of position on the function of the canine lower esophageal sphincter. Gastroenterology 67: 957–964

    PubMed  CAS  Google Scholar 

  57. Kline MM, McCallum RW, Curry N, Sturdevant RAL (1975) Effect of gastric alkalinization on lower esophageal sphincter pressure and serum gastrin. Gastroenterology 68: 1137–1139

    PubMed  CAS  Google Scholar 

  58. Koelz HR, Hollinger A, Säuberli H, Largiadèr F, Siewert R, Blum AL (1978) Effect of gastric antrum on regulation of lower esophageal sphincter pressure in the dog. Am J Physiol 234: E157 - E161

    PubMed  CAS  Google Scholar 

  59. Koelz HR, Lepsien G, Hollinger AP, Säuberli H, Largiadèr F, Arnold R, Blum AL, Siewert R (1979) Effect of intraduodenal peptone on the lower esophageal sphincter pressure in the dog. Gastroenterology 75: 283–285

    Google Scholar 

  60. Kralik I, Vojacek K, Skibbe G (1969) Morphologische und funktionelle Folgen der segmentalen Myektomie der Speiseröhre im Tierversuch. Langenbecks Arch Chir 326: 38–46

    Article  PubMed  CAS  Google Scholar 

  61. Krejs GJ, Seefeld U, Brändli HH, Bron BA, Caro G, Schmid P, Blum AL (1976) Castro-oesophageal reflux disease: Correlation of subjective symptoms with 7 objective oesophageal function tests. Acta Hepatogastroenterol (Stuttg) 23: 130–140

    CAS  Google Scholar 

  62. Kunath U (1977) Die Bedeutung der Bursa infracardiaca für die Pathogenese der Hiatushernie. Langenbecks Arch Chir 343: 161

    Article  PubMed  CAS  Google Scholar 

  63. Kunath U (1979) Neue Aspekte zur Pathogenese der Hiatusgleithernie und Refluxoesophagitis. Dtsch Med Wochenschr 104: 222–225

    Article  PubMed  CAS  Google Scholar 

  64. Lind JF, Warrian WG, Wankling WJ (1966) Responses of the gastroesophageal junctional zone to increase in abdominal pressure. Can J Surg 9: 32–38

    PubMed  CAS  Google Scholar 

  65. Lind JF, Crispin JS, McIver DK (1967) The effect of atropine on the gastroesophageal sphincter. Can J Physiol Pharmacol 46: 233–238

    Article  Google Scholar 

  66. Lind JF, Cotton DJ, Blanchard R, Crispin JS, Dimopolos GE (1969) Effect of thoracic displacement and vagotomy on the canine gastroesophageal junctional zone. Gastroenterology 56: 1078–1085

    PubMed  CAS  Google Scholar 

  67. Lipshutz WH, Hughes W, Cohen S (1972) The genesis of lower esophageal sphincter pressure: its identification through the use of gastrin antiserum. J Clin Invest 51: 522–529

    Article  PubMed  CAS  Google Scholar 

  68. Lipshutz WH, Gaskins RD, Lukash WM (1973) Pathogenesis of lower esophageal sphincter incompetence. N Engl J Med 289: 182–184

    Article  PubMed  CAS  Google Scholar 

  69. Lipshutz WH, Gaskins RD, Lukash WM, Sode J (1974) Hypogastrinemia in patients with lower esophageal incompetence. Gastroenterology 67: 423–427

    PubMed  CAS  Google Scholar 

  70. Lobello R, Edwards DAW, Gummer JWP, Stekelman M (1978) The anti-reflux mechanism after cardiomyotomy. Thorax 33: 569–573

    Article  PubMed  CAS  Google Scholar 

  71. Lortat Jacob JE, Robert F (1953) Les malpositions cardio-tuberositaires. Arch Mal Appar Dig 42: 750

    PubMed  CAS  Google Scholar 

  72. Mann CV, Ellis FH Jr, Schlegel JF, Code CF (1964) Abdominal displacement of the canine gastroesophageal sphincter. Surg Gynecol Obstet 118: 1009–1018

    PubMed  CAS  Google Scholar 

  73. McCallum RW, Walsh JH (1979) Relationship between lower esophageal sphincter pressure and serum gastrin concentrations in Zollinger-Ellison syndrome and other clinical settings. Gastroenterology 76: 76–81

    PubMed  CAS  Google Scholar 

  74. McNally EF, Kelly JE Jr, Ingelfinger FJ (1964) Mechanism of belching: Effects of gastric distension with air. Gastroenterology 46: 254–259

    PubMed  CAS  Google Scholar 

  75. Mendeloff AI (1977) Dietary fiber and human health. N Engl J Med 297: 811–814

    Article  PubMed  CAS  Google Scholar 

  76. Miller G, Savary M, Gloor F (1974) Der gastrooesophageale Prolaps als Ursache traumatischer Schleimhautveränderungen im Magen und Oesophagus. Dtsch Med Wochenschr 99: 553–556

    Article  PubMed  CAS  Google Scholar 

  77. Nebel OT, Castell DO (1972) Lower esophageal sphincter pressure changes after food ingestion. Gastroenterology 63: 778–783

    PubMed  CAS  Google Scholar 

  78. Pellegrini CA, DeMeester TR, Skinner DB (1976) Response of the distal esophageal sphincter to respiratory and positional maneuvres in humans. Surg Forum 27: 380–382

    PubMed  CAS  Google Scholar 

  79. Rattan S, Coln D, Goyal RK (1976) The mechanism of action of gastrin on lower esophageal sphincter. Gastroenterology 70: 828–831

    PubMed  CAS  Google Scholar 

  80. Ryan JP, Duffy KR (1978) LES pressure response to pentagastrin: effect of cholinergic augmentation and inhibition. Am J Physiol 234: E301 - E305

    PubMed  CAS  Google Scholar 

  81. Scheurer U, Halter F (1976) Lower esophageal sphincter pressure in reflux esophagitis. Scand J Gastroenterol 11: 629–634

    PubMed  CAS  Google Scholar 

  82. Sieber AM, Sieber WK (1966) Colon transplants as esophageal replacement: Cineradiographic and manometric evaluation in children. Ann Surg 59: 608–617

    Google Scholar 

  83. Siewert R, Rosetti M (1976) Hiatushernien. In: Siewert R, Blum AL (Hrsg) Funktionsstörungen der Speiseröhre. Springer, Berlin Heidelberg New York, S 192–201

    Google Scholar 

  84. Siewert R, Jennewein HM, Arnold R, Creutzfeldt W (1973) Der untere Oesophagussphinkter bei Zollinger-Ellison-Syndrom. Dtsch Med Wochenschr 98: 1381–1382

    PubMed  CAS  Google Scholar 

  85. Siewert R, Weiser F, Jennewein HM, Waldeck F (1974) Clinical and manometric investigations of the lower esophageal sphincter and its reactivity to pentagastrin in patients with hiatus hernia. LES-pentagastrin test. Digestion 10: 287–297

    Article  PubMed  CAS  Google Scholar 

  86. Siewert R, Weiser HF, Lepsien G, Jennewein HM, Waldeck F, Arnold R, Creutzfeldt W (1977) The relationship between serum IRG levels and LES pressure under various conditions. Digestion 15: 162–174

    Article  PubMed  CAS  Google Scholar 

  87. Sigrist PW, Krejs GJ, Blum AL (1974) Symptomatik der gastrooesophagealen Verschlußkrankheit. Dtsch Med Wochenschr 99: 2088–2094

    Article  Google Scholar 

  88. Sifers EC, Taylor RL, Rick GG Jr, Hartman CR, Tretbar LL (1976) The role of gastrin in the treatment of sliding hiatal hernia with reflux using the reefing method of fundoplication. Surg Gynecol Obstet 143: 376–380

    PubMed  CAS  Google Scholar 

  89. Snyder N, Hughes W (1977) Basal and calcium-stimulated gastroesophageal sphincter pressure in patients with Zollinger-Ellison syndrome. Gastroenterology 72: 1240–1243

    PubMed  CAS  Google Scholar 

  90. Stanciu C, Bennett JR (1977) Effects of posture on gastro-oesophageal reflux. Digestion 15: 104–109

    Article  PubMed  CAS  Google Scholar 

  91. Stanciu C, Haare RC, Bennett JR (1977) Correlation between manometric and pH tests for gastro-oesophageal reflux. Gut 18: 536–540

    Article  PubMed  CAS  Google Scholar 

  92. Stelzner F, Lierse W (1968) Der angiomuskuläre Dehnverschluß der terminalen Speiseröhre. Langenbecks Arch Chir 321: 35–63

    Article  PubMed  CAS  Google Scholar 

  93. Stelzner F, Lierse W (1978) Weitere Untersuchungen zur Insuffizienz des Dehnverschlusses der terminalen Speiseröhre. Langenbecks Arch Chir 346: 177–185

    Article  PubMed  CAS  Google Scholar 

  94. Trindade LM, Rosenberg IL, Rozycki ZJ, Gites GR (1975) The response of the lower oesophageal sphincter to maximal doses of pentagastrin. Br J Surg 62: 11–14

    Article  PubMed  CAS  Google Scholar 

  95. Vandertoll DJ, Ellis HF Jr, Schlegel JF, Code CF (1966) An experimental study of the role of gastric and esophageal muscle in gastro esophageal competence. Surg Gynecol Obstet 122: 579–586

    PubMed  CAS  Google Scholar 

  96. Vantrappen A, Texter EC Jr, Barboka CJ, Vandenbroucke J (1960) The closing mechanism of the gastro esophageal junction. Am J Med 23: 564–577

    Article  Google Scholar 

  97. Venkatachalom B, Dacosta LR, Beck IT (1972) What is a normal esophageal junction? Gastroenterology 62: 517–527

    Google Scholar 

  98. Walker ChO, Frank StA, Manton J, Fordtran JS (1975) Effect of continuous infusion of pentagastrin on lower esophageal sphincter pressure and gastric acid secretion in normal subjects. J Clin Invest 56: 218–225

    Article  PubMed  CAS  Google Scholar 

  99. Wallin L, Madsen T (1979) 12-Hour simultaneous registration of acid reflux and peristaltic activity in the oesophagus. A study in normal subjects. Scand J Gastroenterol 14: 561–566

    Article  PubMed  CAS  Google Scholar 

  100. Wankling WJ, Warrian WG, Lind JF (1965) The gastroesophageal sphincter in hiatus hernia. Can J Surg 8: 61–67

    PubMed  CAS  Google Scholar 

  101. Weiser HF, Lepsien G, Schattenmann G, Siewert R (1978) Klinische Bedeutung der Hiatushernie. Zentralbl Chir 103: 20–29

    PubMed  CAS  Google Scholar 

  102. Wolf BS, Lazur HP (1974) Refluxesophagitis. In: Diseases of the esophagus. Springer, Berlin Heidelberg New York [Vantrappen G, Hellemans J (Hrsg) Handbuch der Inneren Medizin, Bd III/1, S 493–524]

    Google Scholar 

  103. Wright LF, Slaughter RL, Gibson RG, Hirschowitz BI (1975) Correlation of lower esophageal sphincter pressure and serum gastrin levels in man. Am J Dig Dis 20: 603–606

    Article  PubMed  CAS  Google Scholar 

  104. Wright RA, Hurwitz AI (1979) Relationship of hiatal hernia to endoscopically proved reflux csophagitis. Dig Dis Sci 24: 311–313

    Article  PubMed  CAS  Google Scholar 

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Koelz, H.R. (1981). Pathogenese von Hiatushernie und Kardiainsuffizienz. In: Siewert, J.R., Blum, A.L. (eds) Refluxtherapie. Interdisziplinäre Gastroenterologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67714-4_4

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