Achalasia associated with hiatal hernia: Prevalence and potential implications
| Autor: | Michael Y. M. Chen, David W. Gelfand, David J. Ott, Wallace C. Wu, Richard G. Hodge |
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| Rok vydání: | 1993 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Urology Population Achalasia Gastroenterology Hiatal hernia Internal medicine otorhinolaryngologic diseases medicine Humans Radiology Nuclear Medicine and imaging Hernia Esophagus Child education Aged Retrospective Studies Aged 80 and over education.field_of_study Radiological and Ultrasound Technology Esophageal disease business.industry General Medicine Middle Aged medicine.disease Dysphagia digestive system diseases Surgery Barium meal Esophageal Achalasia Radiography stomatognathic diseases Hernia Hiatal surgical procedures operative medicine.anatomical_structure Female medicine.symptom business |
| Zdroj: | Abdominal Imaging. 18:7-9 |
| ISSN: | 1432-0509 0942-8925 |
| DOI: | 10.1007/bf00201690 |
| Popis: | Although hiatal hernia is reported with a 40-50% frequency in the general population, its occurrence and potential implications in achalasia are less well known. We reviewed the medical records and radiographic examinations of 120 patients with achalasia to assess the prevalence of hiatal hernia and its importance in evaluation and management of this motility disorder. Hiatal hernia was present in only 10 (8.3%) patients. Age, sex distribution, prevalence of dysphagia and regurgitation, and lower esophageal sphincter pressure measured manometrically were not significantly different in patients having hiatal hernia compared to those without hernia. Most patients (88%) underwent pneumatic dilatation and five esophageal perforations occurred, but all in patients without hiatal hernia. In conclusion, hiatal hernia is uncommon in patients with achalasia for reasons not known. Age, sex, symptoms, and results of esophageal manometry were not significantly different in those with hiatal hernia. Finally, the presence of hiatal hernia is not a contraindication to treatment of achalasia by pneumatic dilatation. |
| Databáze: | OpenAIRE |
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