Rarity of Hiatus Hernia in Achalasia

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Abstract
ACHALASIA and hiatus hernia are not often found in the same patient. The rarity of this association has been commented upon very briefly by several physicians,1 2 3 4 but nowhere has the problem been analyzed systematically. It is not clear whether anything inherent in achalasia prevents the occurrence of a hiatus hernia. For these reasons we have reviewed a series of patients with achalasia, specifically looking for radiologic evidence of a hiatus hernia.MaterialThe records of all patients with a diagnosis of achalasia at the Grace—New Haven Community Hospital and at the West Haven Veterans Administration Hospital between September, 1953, and . . .