oa South African Medical Journal - Gastro-oesophageal regurgitation : its incidence and relation to symptoms
Gastro-oesophageal regurgitation was observed in 13 patients in a series of 200 on whom barium meal studies were made as a routine investigation. Only 4 of the 13 patients gave a history of epigastric or substernal pain related to posture. Seven other patients in the series had this complaint but did not exhibit reflux. Three of the 4 patients who had postural pain and who exhibited reflux were found to have sliding hiatus hernia. It is concluded that there was no correlation between a history of epigastric or substernal pain related to posture and the occurrence of gastro-oesophageal regurgitation per se, and that this history is a feature in cases of sliding hiatus hernia, which is often associated with regurgitation.
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