Cardia Laxity under Retroflexed Endoscopy Is a Reflection of Esophageal Hiatus Enlargement

Joint Authors

Chen, Dong
Tian, Shurui
Hu, Zhiwei
Wu, Jimin

Source

Gastroenterology Research and Practice

Issue

Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-5, 5 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2020-05-16

Country of Publication

Egypt

No. of Pages

5

Main Subjects

Diseases

Abstract EN

Background and Aim.

In clinical practice, we found that the degree of gastroesophageal laxity (cardia or hiatus) under retroflexed endoscopy is associated with the enlargement of esophageal hiatus during operation, but specific data was lacking.

The aim of this study was to confirm this correlation.

Methods.

Information from patients who underwent endoscopy and CT scan in our department was collected and analyzed retrospectively.

Three-dimensional reconstruction of hiatus from CT images was performed using 3DSlicer software, and the degree of esophageal hiatus enlargement was compared with the degree of gastroesophageal laxity under retroflexed endoscopy.

Results.

Information from 104 patients was included for analysis.

The Spearman correlation coefficient was 0.617 (p≤0.001).

When subgroup correlation analysis was performed according to the presence of hiatal hernia on CT, the Spearman correlation coefficient was 0.816 (p≤0.001) in the hernia group and 0.351 (p=0.002) in the nonhernia group.

The proportion of hiatal hernia and severe esophagitis was increasing gradually with the degree of gastroesophageal laxity.

Conclusion.

The degree of gastroesophageal laxity (cardia or hiatus) under retroflexed endoscopy reflects the degree of esophageal hiatus enlargement; with the degree of gastroesophageal laxity increasing, the proportion of HH and severe esophagitis increases gradually.

This may be useful for physicians in China to guide themselves in the selection of patients for endoscopic antireflux treatment.

American Psychological Association (APA)

Chen, Dong& Tian, Shurui& Hu, Zhiwei& Wu, Jimin. 2020. Cardia Laxity under Retroflexed Endoscopy Is a Reflection of Esophageal Hiatus Enlargement. Gastroenterology Research and Practice،Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1167149

Modern Language Association (MLA)

Chen, Dong…[et al.]. Cardia Laxity under Retroflexed Endoscopy Is a Reflection of Esophageal Hiatus Enlargement. Gastroenterology Research and Practice No. 2020 (2020), pp.1-5.
https://search.emarefa.net/detail/BIM-1167149

American Medical Association (AMA)

Chen, Dong& Tian, Shurui& Hu, Zhiwei& Wu, Jimin. Cardia Laxity under Retroflexed Endoscopy Is a Reflection of Esophageal Hiatus Enlargement. Gastroenterology Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1167149

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1167149