Relationship of Hiatus Hernia to Reflux Oesophagitis A Prospective Study of Coincidence, Using Endoscopy

Berstad, Arnold; Weberg, R.; Larsen, Ingegerd Frøyshov; Hoel, Bjørn; Hauer‐Jensen, Martin

doi:10.3109/00365528609034622

Cited by 153 publications

(66 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our own retro-spective series from Singapore showed that of 11943 patients undergoing diagnostic upper endoscopy for various complaints, 4% had esophagitis [19] . This frequency was lower than those reported from Western centers [20,21] . Thus, with the exception of the Taiwanese series, the proportion of patients with endoscopic esophagitis in Asian series appears lower than that in reports from Western countries.…”

Section: Prevalence Of Endoscopic Esophagitiscontrasting

confidence: 51%

“…In our retrospective series from Singapore, the proportion of hiatus hernia among patients seen for gastrointestinal complaints was 3% [19] . Thus, the available data show that the prevalence of hiatus hernia is lower than that in Western series (17%-22%) [20,21] .…”

Section: Prevalence Of Hiatus Herniamentioning

confidence: 89%

“…Thus, with the exception of the Taiwanese series, the proportion of patients with endoscopic esophagitis in Asian series appears lower than that in reports from Western countries. The severity of esophagitis also appears mild, unlike that in Western populations [20,21] .…”

Section: Prevalence Of Endoscopic Esophagitismentioning

confidence: 99%

See 2 more Smart Citations

Gastroesophageal reflux disease is uncommon in Asia: evidence and possible explanations

Ho¹

1999

WJG

View full text Add to dashboard Cite

Section: Prevalence Of Endoscopic Esophagitiscontrasting

confidence: 51%

Section: Prevalence Of Hiatus Herniamentioning

confidence: 89%

See 1 more Smart Citation

Gastroesophageal reflux disease is uncommon in Asia: evidence and possible explanations

Ho¹

1999

WJG

View full text Add to dashboard Cite

“…Today, the incidence of RE is reported to be 10%-20% in Europe and the United States [23][24][25] , and 14%-16% in Japan [26][27][28] . While the incidence of RE in Japan is considered low as compared to Europe and the United States, the incidence of RE in Japan has increased due to the westernization of the Japanese diet, the rapidly growing elderly population, and lower H pylori infection rates [26][27][28] .…”

Section: Discussionmentioning

confidence: 99%

Incidence of reflux esophagitis and Helicobacter pylori infection in diabetic patients

Ariizumi

Koike²,

Ohara³

et al. 2008

WJG

View full text Add to dashboard Cite

AIM:To investigate the incidence of reflux esophagitis (RE) and H pylori infection in the diabetic patient. METHODS: The incidence of RE and H pylori infection were investigated in 85 patients with diabetes mellitus and the results were compared with controls. RESULTS: The incidence of RE in diabetic patients was 17.6%. Although this tended to be higher in diabetic patients, there were no statistically significant differences between diabetic patients and controls.The incidence of H pylori infection in diabetic patients was 53.7% but no statistically significant difference was seen between diabetic patients and controls in the incidence of H pylori infection. CONCLUSION:No significant differences could be seen between diabetic patients and controls in the incidence of RE and H pylori infection.

show abstract

“…Another opinion was that the existence of HH did not affect esophageal sphincter competence [7][8][9][10] . The third opinion was that HH might play only a partial role in the development of esophagitis, that is, the absence of HH could exclude more severe forms of reflux esophagitis [11][12][13][14] . This study was, therefore, designed to evaluate the influence of the existence of HH on GER.…”

Section: Introductionmentioning

confidence: 99%

Study of the influence of hiatus hernia on gastroesophageal reflux

Zhu¹

2011

WJG

View full text Add to dashboard Cite

AIM:To explore whether the presence of a sliding hiatus hernia influences gastroesophageal reflux. METHODS:Endoscopy and 24 h pH monitoring were performed for 197 outpatients with gastroesophageal reflux symptoms. RESULTS:Of the 1�7 patients with symptoms of gastroesophageal reflux, patients with hiatus hernia accounted for 36%. The incidence of esophagitis in patients with hiatus hernia was signi��cantly higher than that in patients without hiatus hernia. The results of 24 h pH monitoring showed that 84 patients had physiological reflux, 37 had pathological reflux without esophagitis, 64 had reflux esophagitis and 12 had physiological reflux concomitant with esophagitis. All the patients with hiatus hernia had a longer percentage time with supine reflux and a higher fre�uency of episodes lasting over 5 min at night compared to those without hiatus hernia. The incidence of combined daytime and nocturnal reflux in patients with hiatus hernia was signi��cantly higher than that in patients without hiatus hernia. CONCLUSION:Pathological reflux and reflux esophagitis in some patients with symptoms of gastroesophageal reflux represent two different stages of gastroesophageal reflux disease. Pathological reflux is the first stage, in which the lower esophageal sphincter is incompetent but the esophageal mucosal resistance effectively prevents regurgitated acid from damaging the esophageal mucosa. Reflux esophagitis represents the second stage, in which the aggression of the regurgitated acid is so strong that the esophageal mucosa fails to resist it and the epithelium of the esophagus is damaged. Patients with hiatus hernia have a high incidence of combined daytime and nocturnal reflux, with the latter being responsible for esophagitis.

show abstract

Relationship of Hiatus Hernia to Reflux Oesophagitis A Prospective Study of Coincidence, Using Endoscopy

Cited by 153 publications

References 6 publications

Gastroesophageal reflux disease is uncommon in Asia: evidence and possible explanations

Gastroesophageal reflux disease is uncommon in Asia: evidence and possible explanations

Incidence of reflux esophagitis and Helicobacter pylori infection in diabetic patients

Study of the influence of hiatus hernia on gastroesophageal reflux

Contact Info

Product

Resources

About