Preoperative diagnosis of hiatal hernia: barium swallow X-ray, high-resolution manometry, or endoscopy?
| Autor: | Stavros A. Antoniou, Lisa Manzenreiter, Michael Weitzendorfer, Oliver O. Koch, Klaus Emmanuel, Leo Pallwein-Prettner, Philipp Schredl, Gernot Köhler |
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| Rok vydání: | 2017 |
| Předmět: |
Hiatus hernia
medicine.medical_specialty Gastroesophageal reflux disease Gastroenterology Hiatal hernia 03 medical and health sciences Barium swallow 0302 clinical medicine Internal medicine otorhinolaryngologic diseases medicine High-resolution manometry High resolution manometry Original Scientific Paper medicine.diagnostic_test business.industry digestive oral and skin physiology Reflux Endoscopy medicine.disease digestive system diseases Cardiac surgery 030220 oncology & carcinogenesis Ambulatory GERD 030211 gastroenterology & hepatology Surgery business Abdominal surgery |
| Zdroj: | European Surgery |
| ISSN: | 1682-4016 1682-8631 |
| Popis: | Summary Background The assessment of hiatal hernias (HH) is typically done with barium swallow X‑ray, upper endoscopy, and by high-resolution esophageal manometry (HRM). The aim of this study was to assess the clinical utility of these methods in terms of HH detection and their correlation to gastroesophageal reflux disease (GERD). Methods A retrospective comparative analysis of patients with symptoms of GERD was carried out. The performance of endoscopy and HRM in diagnosing HH was assessed, taking barium swallow X‑ray as a reference. Furthermore, statistically comparative analysis between detected hernias and the presence of reflux disease in ambulatory impedance-pH monitoring (MII) was performed. Results Overall, 112 patients were analyzed. Barium swallow X‑ray showed no correlation either to HR manometrically or to endoscopically assessed HH. Significant accordance in the detection rate of HH was proved between HRM and gastroesophagoscopy (p < 0.001). Only endoscopically assessed HH showed a significant correlation with GERD (p = 0.047). No correlation between detected hernias and GERD could be found either with HRM or with barium swallow X‑ray. Conclusions Barium swallow X‑ray provided the highest rate of HH detection (76.8%). For the reliable exclusion of HH prior to treatment, all three mentioned investigations appear to be necessary in order of low conformity. |
| Databáze: | OpenAIRE |
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