“…Although the prevalence of reflux esophagitis in men showed no age‐related changes, our results clearly showed that the prevalence of reflux esophagitis and HH in women changed in a very similar way with age. We speculated that this age‐related increase of HH in women might be caused partly by severe osteoporosis with resulting anteflexion of the spine 25,26 and partly by the weaker connective tissue supporting the phreno‐esophageal membrane. The presence of HH was an important pathogenic factor of reflux esophagitis in all gender and age groups, although the risk ratio of HH for reflux esophagitis was found to increase with age, especially in women.…”
“…Although the prevalence of reflux esophagitis in men showed no age‐related changes, our results clearly showed that the prevalence of reflux esophagitis and HH in women changed in a very similar way with age. We speculated that this age‐related increase of HH in women might be caused partly by severe osteoporosis with resulting anteflexion of the spine 25,26 and partly by the weaker connective tissue supporting the phreno‐esophageal membrane. The presence of HH was an important pathogenic factor of reflux esophagitis in all gender and age groups, although the risk ratio of HH for reflux esophagitis was found to increase with age, especially in women.…”
“…[13][14][15][16] Other contributing factors include decreased intra-abdominal volume and increased intra-abdominal pressures seen in patients with kyphoscoliosis. 5,17,18 In adults, scoliosis can be degenerative or idiopathic in nature. 1 The prevalence of scoliosis in the adult population ranges from 1.4% to 15% in the published literature [19][20][21] and increases with age.…”
Kyphoscoliosis may contribute to the development and progression of paraesophageal hernias. Surgeons approaching paraesophageal hernia repair should be aware of the increased pulmonary morbidity and the postoperative care required in managing these patients.
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