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
Baldwin JA (1978) Cholelithiasis and Hiatus Hernia. Lancet II: 992
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
Biancani P, Goyal RK, Phillips A, Spiro HM (1973) Mechanics of sphincteraction. Studies on the lower esophageal sphincter. J Clin Invest 52: 2973–2978
Blum AL, Siewert JR (1979) Hat die axiale Hiatushernie einen Krankheitswert? Schweiz Med Wochenschr 109: 1977–1981
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
Brown FC, Dubois A, Castell DO (1978) Histaminergic pharmacology of primate lower esophageal sphincter. Am J Physiol 235: E42 - E46
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
Burkitt DP, James PA (1973) Low-residue diets and hiatus hernia. Lancet II: 128–130
Burkitt DP, Walker ARP (1976) Saint’s triad: confirmation and explanation. S Afr Med J 50: 2136–2138
Butterfied DG, Struthers JE, Showalter JP (1972) A test of gastroesophageal sphincter competence. The common cavity test. Dig Dis Sci 17: 415–421
Capron JP, Payenneville H, Dumont M, Dupas JL, Lorriaux A (1978) Evidence for an association between cholelithiasis and hiatus hernia. Lancet II: 329–31
Castell DO, Harris LD (1970) Hormonal control of gastroesophageal sphincter-strength. N Engl J Med 282: 886–889
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
Chattopadhyay DK, Pope II CE (1979) Lower esophageal sphincter pressure’s variability destroys its usefulness. Gastroenterology 76: 1111
Christensen J, Conklin JL, Freeman BW (1973) Physiologic specialization at the esophagastric junction in three species. Am J Physiol 225: 1265–1270
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
Cohen S, Harris LD (1971) Does hiatus hernia affect competence of the gastroesophageal sphincter? N Engl J Med 284: 1053–1056
Condon RE, Kraus MA, Wollheim D (1976) Cause of increase in lower esophageal sphincter pressure after fundoplication. J Surg Res 20: 445–450
Dagradi AE (1977) Hiatushernia and the location of Mallory-Weiss-lesions. Gastroenterology 72: 987
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
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
DeMeester TR, Johnson LF (1975) Position of the distal sphincter and its relationship to reflux. Surg Forum 26: 346–366
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
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
Dent J (1976) A new technique for continuous sphincter pressure measurements. Gastroenterology 71: 263–267
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
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
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
Dodds WJ, Dent J, Hogan WJ (1978) Pregnancy and the lower esophageal sphincter. Gastroenterology 74: 1334–1335
Dyer NH, Pridie RB (1968) Incidence of hiatus hernia in asymptomatic subjects. Gut 9: 696–699
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
Edwards DA (1974) Hiatushernia reflux syndrome. Postgrad Med J 50: 189–193
Edwards DA (1978) Reminiscences on the antireflux mechanism. South Med J [Suppl l] 71: 1–7
Eliska O (1973) Phreno-oesophageal membrane and its role in the development of hiatus hernia. Acta Anat (Basel) 86: 137–150
Farrell RL, Nebel O, McGuire AT, Castell DO (1973) The abnormal lower esophageal sphincter in pernicious anaemia. Gut 14: 767–772
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
Fischer RS, Roberts GS, Grabowski CJ, Cohen S (1978) Altered lower esophageal sphincter function during early pregnancy. Gastroenterology 74: 1233–1237
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
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
Gonella J, Niel JP, Roman C (1977) Vagal control of lower oesophageal sphincter motility in the cat. J Physiol (Lond) 273: 647–664
Gonella J, Niel JP, Roman C (1979) Sympathetic control of lower oesophageal sphincter motility in the cat. J Physiol (Lond) 287: 177–190
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
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
Goyal RK, Rattan S (1978) Neurohumoral, hormonal, and drug receptors for the lower esophageal sphincter. Gastroenterology 74: 598–619
Goyal RK, Biancani P, Phillips A, Spiro HM (1971) Mechanical properties of the esophageal wall. J Clin Invest 50: 1456
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
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
Henderson JM, Lidgard G, Osborne DH, Carter DC, Heading RC (1978) Lower oesophageal sphincter response to gastrin-pharmacological or physiological? Gut 19: 99–102
Higgs RH, Smyth RD, Castell DO (1974) Gastric alkalinization. Effect on loweresophageal-sphincter pressure and serum gastrin. N Engl J Med 291: 486–490
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
Isenberg JI, Csendes A, Walsh SH (1971) Resting and pentagastrin-stimulated gastroesophageal sphincter pressure in patients with Zollinger-Ellison syndrome. Gastroenterology 61: 655–658
Jackson AJ (1978) The spiral constrictor of the gastroesophageal junction. Am J Anat 151: 265–275
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
Kaye MD (1977) Postprandial gastro-oesophageal reflux in healthy people. Gut 18: 709–712
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
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
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
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
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
Kralik I, Vojacek K, Skibbe G (1969) Morphologische und funktionelle Folgen der segmentalen Myektomie der Speiseröhre im Tierversuch. Langenbecks Arch Chir 326: 38–46
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
Kunath U (1977) Die Bedeutung der Bursa infracardiaca für die Pathogenese der Hiatushernie. Langenbecks Arch Chir 343: 161
Kunath U (1979) Neue Aspekte zur Pathogenese der Hiatusgleithernie und Refluxoesophagitis. Dtsch Med Wochenschr 104: 222–225
Lind JF, Warrian WG, Wankling WJ (1966) Responses of the gastroesophageal junctional zone to increase in abdominal pressure. Can J Surg 9: 32–38
Lind JF, Crispin JS, McIver DK (1967) The effect of atropine on the gastroesophageal sphincter. Can J Physiol Pharmacol 46: 233–238
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
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
Lipshutz WH, Gaskins RD, Lukash WM (1973) Pathogenesis of lower esophageal sphincter incompetence. N Engl J Med 289: 182–184
Lipshutz WH, Gaskins RD, Lukash WM, Sode J (1974) Hypogastrinemia in patients with lower esophageal incompetence. Gastroenterology 67: 423–427
Lobello R, Edwards DAW, Gummer JWP, Stekelman M (1978) The anti-reflux mechanism after cardiomyotomy. Thorax 33: 569–573
Lortat Jacob JE, Robert F (1953) Les malpositions cardio-tuberositaires. Arch Mal Appar Dig 42: 750
Mann CV, Ellis FH Jr, Schlegel JF, Code CF (1964) Abdominal displacement of the canine gastroesophageal sphincter. Surg Gynecol Obstet 118: 1009–1018
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
McNally EF, Kelly JE Jr, Ingelfinger FJ (1964) Mechanism of belching: Effects of gastric distension with air. Gastroenterology 46: 254–259
Mendeloff AI (1977) Dietary fiber and human health. N Engl J Med 297: 811–814
Miller G, Savary M, Gloor F (1974) Der gastrooesophageale Prolaps als Ursache traumatischer Schleimhautveränderungen im Magen und Oesophagus. Dtsch Med Wochenschr 99: 553–556
Nebel OT, Castell DO (1972) Lower esophageal sphincter pressure changes after food ingestion. Gastroenterology 63: 778–783
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
Rattan S, Coln D, Goyal RK (1976) The mechanism of action of gastrin on lower esophageal sphincter. Gastroenterology 70: 828–831
Ryan JP, Duffy KR (1978) LES pressure response to pentagastrin: effect of cholinergic augmentation and inhibition. Am J Physiol 234: E301 - E305
Scheurer U, Halter F (1976) Lower esophageal sphincter pressure in reflux esophagitis. Scand J Gastroenterol 11: 629–634
Sieber AM, Sieber WK (1966) Colon transplants as esophageal replacement: Cineradiographic and manometric evaluation in children. Ann Surg 59: 608–617
Siewert R, Rosetti M (1976) Hiatushernien. In: Siewert R, Blum AL (Hrsg) Funktionsstörungen der Speiseröhre. Springer, Berlin Heidelberg New York, S 192–201
Siewert R, Jennewein HM, Arnold R, Creutzfeldt W (1973) Der untere Oesophagussphinkter bei Zollinger-Ellison-Syndrom. Dtsch Med Wochenschr 98: 1381–1382
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
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
Sigrist PW, Krejs GJ, Blum AL (1974) Symptomatik der gastrooesophagealen Verschlußkrankheit. Dtsch Med Wochenschr 99: 2088–2094
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
Snyder N, Hughes W (1977) Basal and calcium-stimulated gastroesophageal sphincter pressure in patients with Zollinger-Ellison syndrome. Gastroenterology 72: 1240–1243
Stanciu C, Bennett JR (1977) Effects of posture on gastro-oesophageal reflux. Digestion 15: 104–109
Stanciu C, Haare RC, Bennett JR (1977) Correlation between manometric and pH tests for gastro-oesophageal reflux. Gut 18: 536–540
Stelzner F, Lierse W (1968) Der angiomuskuläre Dehnverschluß der terminalen Speiseröhre. Langenbecks Arch Chir 321: 35–63
Stelzner F, Lierse W (1978) Weitere Untersuchungen zur Insuffizienz des Dehnverschlusses der terminalen Speiseröhre. Langenbecks Arch Chir 346: 177–185
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
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
Vantrappen A, Texter EC Jr, Barboka CJ, Vandenbroucke J (1960) The closing mechanism of the gastro esophageal junction. Am J Med 23: 564–577
Venkatachalom B, Dacosta LR, Beck IT (1972) What is a normal esophageal junction? Gastroenterology 62: 517–527
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
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
Wankling WJ, Warrian WG, Lind JF (1965) The gastroesophageal sphincter in hiatus hernia. Can J Surg 8: 61–67
Weiser HF, Lepsien G, Schattenmann G, Siewert R (1978) Klinische Bedeutung der Hiatushernie. Zentralbl Chir 103: 20–29
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]
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
Wright RA, Hurwitz AI (1979) Relationship of hiatal hernia to endoscopically proved reflux csophagitis. Dig Dis Sci 24: 311–313
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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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