Cardia Laxity under Retroflexed Endoscopy Is a Reflection of Esophageal Hiatus Enlargement

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....

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Main Authors: Dong Chen, Shurui Tian, Zhiwei Hu, Jimin Wu
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2020/9180167
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author Dong Chen
Shurui Tian
Zhiwei Hu
Jimin Wu
author_facet Dong Chen
Shurui Tian
Zhiwei Hu
Jimin Wu
author_sort Dong Chen
collection DOAJ
description 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.
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spelling doaj-art-4640181f95c845a599427fa8a969a0fc2025-02-03T06:08:07ZengWileyGastroenterology Research and Practice1687-61211687-630X2020-01-01202010.1155/2020/91801679180167Cardia Laxity under Retroflexed Endoscopy Is a Reflection of Esophageal Hiatus EnlargementDong Chen0Shurui Tian1Zhiwei Hu2Jimin Wu3Department of Gastroesophageal Surgery, PLA Rocket Force Characteristic Medical Center, Beijing, ChinaDepartment of Gastroesophageal Surgery, PLA Rocket Force Characteristic Medical Center, Beijing, ChinaDepartment of Gastroesophageal Surgery, PLA Rocket Force Characteristic Medical Center, Beijing, ChinaDepartment of Gastroesophageal Surgery, PLA Rocket Force Characteristic Medical Center, Beijing, ChinaBackground 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.http://dx.doi.org/10.1155/2020/9180167
spellingShingle Dong Chen
Shurui Tian
Zhiwei Hu
Jimin Wu
Cardia Laxity under Retroflexed Endoscopy Is a Reflection of Esophageal Hiatus Enlargement
Gastroenterology Research and Practice
title Cardia Laxity under Retroflexed Endoscopy Is a Reflection of Esophageal Hiatus Enlargement
title_full Cardia Laxity under Retroflexed Endoscopy Is a Reflection of Esophageal Hiatus Enlargement
title_fullStr Cardia Laxity under Retroflexed Endoscopy Is a Reflection of Esophageal Hiatus Enlargement
title_full_unstemmed Cardia Laxity under Retroflexed Endoscopy Is a Reflection of Esophageal Hiatus Enlargement
title_short Cardia Laxity under Retroflexed Endoscopy Is a Reflection of Esophageal Hiatus Enlargement
title_sort cardia laxity under retroflexed endoscopy is a reflection of esophageal hiatus enlargement
url http://dx.doi.org/10.1155/2020/9180167
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AT shuruitian cardialaxityunderretroflexedendoscopyisareflectionofesophagealhiatusenlargement
AT zhiweihu cardialaxityunderretroflexedendoscopyisareflectionofesophagealhiatusenlargement
AT jiminwu cardialaxityunderretroflexedendoscopyisareflectionofesophagealhiatusenlargement