Hiatus Hernia

THIS REPORT consists of a brief analysis of 25 cases of hiatus hernia. Individual case reports are given to illustrate various complications, associated conditions and difficulties in differential diagnosis. Thirteen of these cases are from our services at the University of Nebraska College of Medicine, and 12 are from our private practice. All the latter have been seen during the past two years. DEFINITION The term hiatus hernia as used in this report refers to the type of esophageal hiatus hernia seen in adults as a result of a sliding herniation of the stomach into the thoracic cavity. No attempt has been made to differentiate between paraesophageal hiatus hernia, in which the lower part of the esophagus remains in its normal position and a portion of the cardiac end of the stomach herniates through the hiatus alongside the esophagus, and esophagogastric hernia, in which the lower end or abdominal part