F. JOHNSON PUTNEY, M.D.
Thoracic stomach results from herniation through a normal or abnormal diaphragmatic opening, or failure of development of the esophagus. The diaphragm has only one normal opening through which gastric hernia is apt to occur and that is the esophageal passageway, considered to be the weakest point in the diaphragm. Both the vena cava and the aorta traverse the diaphragm, but the expansile vessels fill the openings so completely that herniation is prevented. Abnormal openings in the diaphragm may be produced by embryologic defects or by direct or indirect trauma. Congenital shortening of the esophagus, when present, checks the descent of
PUTNEY FJ. THORACIC STOMACH PRODUCED BY ESOPHAGEAL HIATUS HERNIA AND CONGENITAL SHORT ESOPHAGUS1. Ann Intern Med. 1948;28:1094–1105. doi: 10.7326/0003-4819-28-6-1094
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Published: Ann Intern Med. 1948;28(6):1094-1105.
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