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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
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