Document Detail

Hiatus hernia in gastroesophageal reflux disease.
MedLine Citation:
PMID:  3952449     Owner:  NLM     Status:  MEDLINE    
Upper gastrointestinal endoscopy and radiologic examination were performed in 101 patients with symptoms strongly suggestive of gastroesophageal reflux (GER) disease. Hiatus hernia (HH) was found in 50 patients diagnosed by radiography or endoscopy, or both, in 22, 19, and 9 patients respectively. Severe endoscopic esophagitis (grades III and IV) was found more often (p less than 0.05) in the patients with HH than in those without. The same was true for the early positive timed acid perfusion tests (p less than 0.02). Furthermore, the patients with HH more often had reflux by the standard acid reflux test (42 of 50 versus 28 of 51; p less than 0.01), gastroesophageal scintigraphy (47 of 50 versus 40 of 51; p less than 0.05), and radiography (20 of 50 versus 2 of 51; p less than 0.001) than the patients without HH. The results show that severe GER disease can occur without an associated HH and indicate that patients with symptoms of GER disease and associated HH are likely to have a more severe GER disease than those without HH.
B Kaul; H Petersen; H E Myrvold; K Grette; P Røysland; T Halvorsen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Scandinavian journal of gastroenterology     Volume:  21     ISSN:  0036-5521     ISO Abbreviation:  Scand. J. Gastroenterol.     Publication Date:  1986 Jan 
Date Detail:
Created Date:  1986-04-04     Completed Date:  1986-04-04     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0060105     Medline TA:  Scand J Gastroenterol     Country:  NORWAY    
Other Details:
Languages:  eng     Pagination:  31-4     Citation Subset:  IM    
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MeSH Terms
Barium Sulfate / diagnostic use
Esophagitis, Peptic / diagnosis,  etiology
Fiber Optic Technology
Gastroesophageal Reflux / complications*,  diagnosis
Hernia, Diaphragmatic / complications*
Hernia, Hiatal / complications*,  diagnosis
Hydrochloric Acid / diagnostic use
Technetium / diagnostic use
Technetium Compounds*
Tin / diagnostic use
Tin Compounds*
Reg. No./Substance:
0/Technetium Compounds; 0/Tin Compounds; 0/technetium Tc 99m tin colloid; 7440-26-8/Technetium; 7440-31-5/Tin; 7647-01-0/Hydrochloric Acid; 7727-43-7/Barium Sulfate

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