Gastric acid secretion (GAS) and hiatal hernia. II. Relationship between GAS and clinical results after hernia repair.
The indications for surgical procedures reducing gastric acid secretion in patients with hiatal hernia and symptomatic gastroesophageal reflux remain unclear. In a study of the postoperative results in 40 patients operated upon with modified Husfeldt hernia repair only, the results were assessed in relation to BAO and PAO. No correlation was found between the clinical results and BAO or PAO in patients in whom the reflux was successfully corrected by the procedure. It is concluded that gastric acid-reducing procedures are not indicated in patients in whom correction of reflux is anticipated.
D004947:Esophagus / Q000503:physiopathology; D005744:Gastric Acid / Q000378:metabolism*; D005764:Gastroesophageal Reflux / Q000209:etiology / Q000601:surgery*; D006548:Hernia, Diaphragmatic / Q000601:surgery*; D006551:Hernia, Hiatal / Q000150:complications / Q000601:surgery*; D006801:Humans; D011379:Prognosis; D012636:Secretory Rate