Is the severity of gastroesophageal reflux dependent on hiatus hernia size?
| Autor: | Thomas Franzén, Lita Tibbling |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Brief Article Manometry macromolecular substances Chest pain Gastroenterology Young Adult Internal medicine Surveys and Questionnaires medicine Humans Hernia Prospective Studies Prospective cohort study Pathological Burning Sensation Aged business.industry Reflux Heartburn General Medicine Middle Aged medicine.disease digestive system diseases Surgery stomatognathic diseases surgical procedures operative Hernia Hiatal nervous system Regurgitation (digestion) Gastroesophageal Reflux Female medicine.symptom business |
| Zdroj: | World journal of gastroenterology. 20(6) |
| ISSN: | 2219-2840 |
| Popis: | AIM: To determine if the severity of gastroesophageal reflux disease is dependent on the size of a hiatus hernia. METHODS: Seventy-five patients with either a small (n = 25), medium (n = 25) or large (n = 25) hiatus hernia (assessed by high resolution esophageal manometry) were investigated using 24-h esophageal monitoring and a self-assessed symptom questionnaire. The questionnaire comprised the following items, each graded from 0 to 3 according to severity: heartburn; pharyngeal burning sensation; acid regurgitation; and chest pain. RESULTS: The percentage total reflux time was significantly longer in the group with hernia of 5 cm or more compared with the group with a hernia of < 3 cm (P < 0.002), and the group with a hernia of 3 to < 5 cm (P < 0.04). Pharyngeal burning sensation, heartburn and acid regurgitation were more common with large hernias than small hernias, but the frequency of chest pain was similar in all three hernia groups. CONCLUSION: Patients with a large hiatus hernia are more prone to have pathological gastroesophageal reflux and to have more acid symptoms than patients with a small hiatus hernia. However, it is unlikely that patients with an absence of acid symptoms will have pathological reflux regardless of hernia size. |
| Databáze: | OpenAIRE |
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