| Contribution of standard oesophageal manometry in sliding hiatal hernia: from the gastro-oesophageal pressure gradient to the diagnosis. | |
| | |
MedLine Citation:
|
PMID: 19473892 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: We tested whether gastro-oesophageal pressure gradient is augmented in sliding hiatal hernia and the yield of oesophageal manometry in diagnosing sliding hiatal hernia. METHODS: Patients with equivalent body mass index were categorised according to manometry and endoscopy in groups: (1) no sliding hiatal hernia (n=147); (2) sliding hiatal hernia solely at endoscopy (n=46); and (3) sliding hiatal hernia at manometry (n=22). The yield of manometry was assessed taking endoscopy as referential. RESULTS: Gastro-oesophageal pressure gradient was similar between groups both at inspiration (13.3+/-5.7 mm Hg vs. 13.6+/-5.4 mm Hg vs. 12.6+/-4.4 mm Hg; P=0.874) or expiration (5.1+/-3.8 mm Hg vs. 5.2+/-3.6 mm Hg vs. 5.1+/-3.7 mm Hg; P=0.767). Group 3 patients were older than those of groups 1 and 2 (59+/-10 vs. 42+/-15 vs. 45+/-13 years; P<0.001). Sliding hiatal hernia was larger when characterised by manometry than at endoscopy [4 cm (2.25-4.75) vs. 2 cm (2-3); P<0.001]. Manometry showed sensitivity of 28% (95%CI 19-40%), specificity of 97% (95%CI 93-99%) and positive predictive value of 82% (95%CI 63-92%) in diagnosing sliding hiatal hernia. CONCLUSIONS: By using manometry in patients with equivalent body mass index, sliding hiatal hernia presence and size are related with age rather than gastro-oesophageal pressure gradient. This technique may be clinically useful when positive for sliding hiatal hernia. |
| | |
Authors:
|
F Fornari; L M P Fucilini; C Risson; L Rossi; A Gelain; S G S Barros |
Publication Detail:
|
Type: Journal Article Date: 2009-05-26 |
Journal Detail:
|
Title: Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver Volume: 41 ISSN: 1878-3562 ISO Abbreviation: Dig Liver Dis Publication Date: 2009 Dec |
Date Detail:
|
Created Date: 2009-11-09 Completed Date: 2010-01-26 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100958385 Medline TA: Dig Liver Dis Country: Netherlands |
Other Details:
|
Languages: eng Pagination: 886-90 Citation Subset: IM |
Affiliation:
|
ENDOPASSO, Passo Fundo/RS, Brazil. FernandoFornari@gmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Aged, 80 and over Analysis of Variance Body Mass Index Chi-Square Distribution Esophagoscopy Esophagus / physiopathology Female Hernia, Hiatal / diagnosis*, physiopathology* Humans Male Manometry / methods* Middle Aged Pressure Sensitivity and Specificity Statistics, Nonparametric |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Overoxidized polypyrrole/multi-walled carbon nanotubes composite modified electrode for in vivo liqu...
Next Document: Recognition and characterization of small colonic neoplasia with high-definition colonoscopy using i...