Fundoplication in hiatal hernia--results after 10 years

Of the 194 fundoplications for hiatus hernia published by the authors at an earlier date, 66 were done before 1965 and 61 were available for an evaluation of the results after 10 years. Clinical results are good, 58 patients being free of symptoms. Only 3 complained of diarrhea or slight dysphagia. The radiological check up was ideal in 59 cases. 2 patients showed an "en bloc" herniation, but the fundoplication worked still very well as a reflux-preventive mechanism. 40 patients were no'longer able to vomit, a fact that has been suspected by other authors. Only 14 of them resented this as an inconvenience.