Elsevier

The Lancet

Volume 302, Issue 7821, 21 July 1973, Pages 128-130
The Lancet

Hypothesis
LOW-RESIDUE DIETS AND HIATUS HERNIA

https://doi.org/10.1016/S0140-6736(73)93067-5Get rights and content

Abstract

Epidemiological studies indicate that hiatus hernia is a characteristically " Western " disease. Its geographical distribution renders most conventional hypotheses as to its causation untenable. It is postulated that the unnaturally raised intra-abdominal pressures that are necessitated to evacuate the firm stools resulting from consumption of low-residue diets are an important ætiological factor. This hypothesis is consistent with epidemiological evidence.

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