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  • Title: [Bleeding from hiatal hernia (author's transl)].
    Author: Engels E, Reismann B.
    Journal: Zentralbl Chir; 1976; 101(17):1044-8. PubMed ID: 1087521.
    Abstract:
    Report on 7 cases of massive hemorrhage from hiatal hernias. In all cases diagnosis was made before operation by oesophago-gastroscopy and/or by selective angiography. Early operation is the only successful therapy. The procedure depends on the kind of lesion and the type of hernia. In sliding hernia a Nissen fundoplication, in the paraesophageal type a fundoplication combined with gastropexy is performed. In cases of hyperacidity a combination with vagotomy and pylorplasty is necessary. Ulcers should be excised or resected by a Billroth-I-type gastrectomy. All seven patients could be cured.
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