Transmigration of the Lower Esophageal Mucosa

Publisher Website
Google Scholar
Abstract
The condition commonly known as "esophagogastric invagination" should be referred to as "transmigration of the esophageal mucosa." The appearances described probably do not represent true invagination of all the layers of the walls forming the esophagogastric segment, but only a chance heaping up of the mobile mucosa of the lower esophagus and vestibule. Among 2100 consecutive upper gastrointestinal series there were found 91 cases of transmigration of the esophageal mucosa, 34 of which were unassociated with hiatal hernia[long dash] a phenomenon not previously reported. Mucosal transmigration cannot therefore be taken as an indication that a hiatal hernia exists. It may occasionally be produced in a normal esophagus, if sufficient vigor is employed. No correlation with symptoms was noted. The incidence was significantly higher where transpyloric prolapse of gastric mucosa coexisted. The incidence of invagination is probably a function of the vigor with which the examination is conducted.

This publication has 1 reference indexed in Scilit: