Hiatal hernia:risk factors,and clinical and endoscopic aspects in gastroscopy  

作　　者：Naim Abu-Freha Revital Guterman Ruhama Elhayany Avraham Yitzhak Shira Sophie Hudes Alexander Fich 

机构地区：[1]Assuta Medical Center,Gastroenterology Institute,Beer-Sheva,Israel [2]Faculty of Health Sciences,Ben Gurion University of the Negev,Beer-Sheva,Israel [3]Hospital Administration,Assuta Medical Center,Beer Sheva,Israel [4]Medical School for International Health,Ben Gurion University of the Negev,Beer-Sheva,Israel

出　　处：《Gastroenterology Report》2024年第1期379-383,共5页胃肠病学报道(英文)

摘　　要：Background:Hiatal hernia(HH)is a common finding in gastroscopy.The aim of the present study was to investigate the frequency rate of HH among patients who underwent esophagogastroduodenoscopy(EGD)according to their age,gender,and procedural indication.Methods:A multicenter,retrospective study including all EGDs was conducted across seven endoscopy departments between 2016 and 2021.Demographic information,procedural indications,and findings from the initial EGD were collected.Results:Of the 162,608 EGDs examined,96,369(59.3%)involved female patients.HH was identified in 39,619(24.4%)of all EGDs performed,comprising small HH in 31,562(79.6%)and large HH in 3,547(9.0%).The frequency of HH was 16.5%in the age group of≤50 years and 37.3%in those aged≥81 years.HH was diagnosed in 38.7%(11,370)of patients with heartburn/reflux symptoms,31.5%of those with dysphagia,28.5%of those with positive fecal occult blood tests,and 24.3%of those who would undergo bariatric surgery.Age(odds ratio 1.030),female gender(odds ratio 1.309),reflux symptoms(odds ratio 2.314),and dysphagia(odds ratio 1.470)were identified as predictors for HH.Conclusions:Risk factors for HH diagnosed by EGD in symptomatic patients were shown to be advanced age,female gender,and the presence of heartburn or dysphagia.

关 键 词：hiatal hernia GASTROSCOPY risk factors INDICATIONS 

分 类 号：R571[医药卫生—消化系统]