Approaches to the diagnosis and grading of hiatal hernia

Kahrilas, Peter J.; Kim, Hyon C.; Pandolfino, John E.

doi:10.1016/j.bpg.2007.12.007

Cited by 373 publications

(285 citation statements)

References 17 publications

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“…The presence of a hiatus hernia was defined as widening of the muscular hiatal tunnel and circumferential laxity of the phrenoesophageal membrane [19] , allowing a portion of the stomach to slide into the thorax.…”

Section: Study Variables and Data Collectionmentioning

confidence: 99%

Age, smoking and overweight contribute to the development of intestinal metaplasia of the cardia

Felley

Bouzourène²,

VanMelle³

et al. 2012

WJG

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AIM:To assess the role of Helicobacter pylori (H. pylori ), gastroesophageal reflux disease (GERD), age, smoking and body weight on the development of intestinal metaplasia of the gastric cardia (IMC). METHODS:Two hundred and seventeen patients scheduled for esophagogastroduodenoscopy were enrolled in this study. Endoscopic biopsies from the esophagus, gastroesophageal junction and stomach were evaluated for inflammation, the presence of H. pylori and intestinal metaplasia. The correlation of these factors with the presence of IMC was assessed using logistic regression. show no significant association. IMC can be predicted in theory by logistic regression analysis.

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Section: Study Variables and Data Collectionmentioning

confidence: 99%

Age, smoking and overweight contribute to the development of intestinal metaplasia of the cardia

Felley

Bouzourène²,

VanMelle³

et al. 2012

WJG

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“…Physiological stricture due to compression by the arcus aortae should be excluded as a cause first. In certain cases, compression by the arcus aortae or an enlarged heart could be responsible, but this could readily be distinguished by counting the number of beats (3,15,16). In addition, physicians should also take into account compression caused by foreign bodies or conditions that can affect the esophagus, such as tight belts, hiatus hernia and esophageal narrowing caused by an ulcer or a tumor.…”

Section: Discussionmentioning

confidence: 99%

Esophageal cancer diagnosed by high-resolution manometry of the esophagus: A case report

Liu

Chen

2016

Oncology Letters

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Abstract.A 48-year-old female who presented with a history of dysphagia for 5 months and regurgitation for 1 week was referred to the Sir Run Run Shaw Hospital (Hangzhou, China) for further evaluation, since the gastroscopy and endoscopic ultrasound performed in local hospitals did not reveal the presence of cancer. High-resolution manometry (HRM) of the esophagus was performed to determine the patient's condition, and revealed an abnormal high-pressure zone that was located 33 cm from the incisor and did not relax upon swallowing. Synchronous waves were observed, and the pressure of the esophageal lumen was found to increase with secondary synchronous peristaltic waves. The lower esophageal sphincter was 39 cm from the incisor and relaxed upon swallowing. The abnormal high-pressure zone could have been caused by an obstruction, and therefore an upper gastrointestinal series (barium swallow) test and gastroscopy were recommended to further pinpoint the cause. Following the two examinations, mid-esophageal cancer was considered as a possible diagnosis. A biopsy was performed and the final diagnosis was that of basaloid squamous cell carcinoma. The findings of the present study suggest that, for patients with evident symptoms of esophageal motor dysfunction without significant gastroscopy findings, HRM is recommended.

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“…Under normal circumstances, the esophagus is attached to the diaphragm by the phreno-esophageal membrane, a key structure in the pathogenesis of HH (52)(53)(54). From a manometric point of view, three subtypes of EGJ have been described according to their morphology: subtype I (LES and overlapping DC), subtype II (separation between the LES and CD < 2 cm), and subtype III or hiatal hernia (separation between EGJ and CD > 2 cm).…”

Section: Current Situationmentioning

confidence: 99%

Practical aspects of high resolution esophageal manometry

Juan¹,

Ríos²,

Bueno³

et al. 2016

Rev Esp Enferm Dig

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High resolution esophageal manometry (HRM) is currently under development as can be seen in the various Chicago classifications. In order to standardize criteria in certain practical aspects with limited scientific evidence, the First National Meeting for Consensus in High Resolution Manometry of the Spanish Digestive Motility Group took place, bringing together a wide group of experts. The proposals were based on a prior survey composed of 47 questions, an exhaustive review of the available literature and the experience of the participants. Methodological aspects relating to the poorly defined analysis criteria of certain new high resolution parameters were discussed, as well as other issues previously overlooked such as spontaneous activity or secondary waves. Final conclusions were drawn with practical applications.

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Approaches to the diagnosis and grading of hiatal hernia

Cited by 373 publications

References 17 publications

Age, smoking and overweight contribute to the development of intestinal metaplasia of the cardia

Age, smoking and overweight contribute to the development of intestinal metaplasia of the cardia

Esophageal cancer diagnosed by high-resolution manometry of the esophagus: A case report

Practical aspects of high resolution esophageal manometry

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