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Abstracts |

Esophageal Motility Studies in the Evaluation of Hiatal Hernia.

Maurice L. Kelley Jr., M.D., F.A.C.P.
Ann Intern Med. 1965;62(5):1079-1080. doi:10.7326/0003-4819-62-5-1079_4
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The purpose of this report is to describe and illustrate the three roles fulfilled by intraluminal manometric esophageal studies in the evaluation of patients with small sliding hiatal hernia. Pressures are measured under resting conditions and after swallowing at each 0.5-cm segment of the esophagus and its sphincters by a miniature balloon and two open-tip polyethylene tubes separated by 5 cm connected to pressure transducers and recorded photokymographically.

The detection of small hiatal hernias is not disclosed by radiologic and endoscopic examinations. These pressure indicators include excessive length of the gastroesophageal sphincter, double (rather than a single) zones of increased


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