Skip to main content
NCBI home page
Thorax logoLink to Thorax
. 1973 May;28(3):342–348. doi: 10.1136/thx.28.3.342

Intraluminal pressure, transmucosal potential difference, and pH studies in the oesophagus of patients before and after Collis repair of a hiatal hernia

K S Habibulla 1, J Leigh Collis 1,1
PMCID: PMC470039  PMID: 4724501

Abstract

Intraluminal pressure, transmucosal potential difference, and endo-oesophageal pH measurements were studied in patients with hiatal hernia—before and after a hiatal repair. The operation employed is the Collis (1968) repair for uncomplicated hiatal hernia and does not refer to gastroplasty as recommended for peptic stricture (Collis, 1961). Postoperative studies show that the repair approximates the inferior oesophageal sphincter to the hiatus with the production of a single band of raised pressure at the lower end of the oesophagus. This band is similar to that seen in normal subjects and its appearance was associated with cure of the symptoms, abolition of the gastro-oesophageal reflux, and improvement in the function of the inferior oesophageal sphincter and the musculature of the body of the oesophagus. Certain physiological implications of this study are discussed.

Full text

PDF
342

Images in this article

345Image
on p.345

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. COLLIS J. L. Gastroplasty. Thorax. 1961 Sep;16:197–206. doi: 10.1136/thx.16.3.197. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Cohen S., Harris L. D. Does hiatus hernia affect competence of the gastroesophageal sphincter? N Engl J Med. 1971 May 13;284(19):1053–1056. doi: 10.1056/NEJM197105132841902. [DOI] [PubMed] [Google Scholar]
  3. Edwards D. A. The oesophagus. Gut. 1971 Nov;12(11):948–956. doi: 10.1136/gut.12.11.948. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. HELM W. J., SCHLEGEL J. F., CODE C. F., SUMMERSKILL W. H. IDENTIFICATION OF THE GASTROESOPHAGEAL MUCOSAL JUNCTION BY TRANSMUCOSAL POTENTIAL IN HEALTHY SUBJECTS AND PATIENTS WITH HIATAL HERNIA. Gastroenterology. 1965 Jan;48:25–35. [PubMed] [Google Scholar]
  5. Habibulla K. S. The diaphragm as an anti-reflux barrier. A monometric, oesophagoscopic, and transmucosal potential study. Thorax. 1972 Nov;27(6):692–702. doi: 10.1136/thx.27.6.692. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Skinner D. B., Booth D. J. Assessment of distal esophageal function in patients with hiatal hernia and-or gastroesophageal reflux. Ann Surg. 1970 Oct;172(4):627–637. doi: 10.1097/00000658-197010000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Woodward D. A. Response of the gullet to gastric reflux in patients with hiatus hernia and oesophagitis. Thorax. 1970 Jul;25(4):459–464. doi: 10.1136/thx.25.4.459. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Thorax are provided here courtesy of BMJ Publishing Group

RESOURCES