An operation for hiatus hernia with short oesophagus.

Abstract

Thepatient withahiatus hernia andamarkedly shortoesophagus presents a problem forwhich there isnotatpresent agenerally accepted lineof treatment. Therearegrossmacroscopic changes intheoesophagus andtheytendtogiveriseto severe painanddysphagia. Theshortening ofthe oesophagus makestheproblem unsuitable for treatment bythestandard operations forhiatus hernia, whilesomeofthesuggested treatments, suchasoesophago-jejunostomy, aresoformidable