Hiatus hernia historical perspective

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]


In 1846, Henry Ingersoll Bowditch was first to described hiatus hernia following postmortem examination. In the recent treatment strategies laparoscopic fundoplication have indicated very relatively low complication when compare to other techniques, quick recovery, and relatively good long term effects.

Historical Perspective

  • During 1800s, The association between gastroesophageal reflux and hiatus hernia was postulated.
  • In 1846, Henry Ingersoll Bowditch was first to described hiatus hernia following postmortem examination.[1]
  • In 1855, Carl Rokitansky, a pathologist in Vienna was the first to discover the association between gastroesophageal reflux and the development of esophagitis.[2]

Landmark Events in the Development of Treatment Strategies


  1. Stylopoulos N, Rattner DW (January 2005). "The history of hiatal hernia surgery: from Bowditch to laparoscopy". Ann. Surg. 241 (1): 185–93. PMC 1356862. PMID 15622007.
  2. . doi:10.1097/01.sla.0000149430.83220.7f. Missing or empty |title= (help)
  3. Witteman BP, Strijkers R, de Vries E, Toemen L, Conchillo JM, Hameeteman W, Dagnelie PC, Koek GH, Bouvy ND (2012). "Transoral incisionless fundoplication for treatment of gastroesophageal reflux disease in clinical practice". Surg Endosc. 26 (11): 3307–15. doi:10.1007/s00464-012-2324-2. PMC 3472060. PMID 22648098.
  4. Abbas AE, Deschamps C, Cassivi SD, Allen MS, Nichols FC, Miller DL, Pairolero PC (2004). "Barrett's esophagus: the role of laparoscopic fundoplication". Ann. Thorac. Surg. 77 (2): 393–6. doi:10.1016/S0003-4975(03)01352-3. PMID 14759403.

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