From September,1989 to February,1990,925 pa-tients were examined with gastrofiberscope and a partamong them with radioscope 21 cases of sliding hiatushernia and 70 cases of esophageal hiatus dyssfunctionwere diagnosed.
Theincidence of each group of patients associated with hiatushernia was 25.5%, 30.7%, 54.6%, and 60.9% respectivelyand the number of the cases associated with hiatus herniaincreased with the severity of RE.
The rank of three main factors affecting reflux esophagitis was LESP(78.5%), day-time reflux(9.2%) and hiatus hernia(8.7%) in Group E, and LESP(44.8%), BAO(41.5%) and night-time reflux(8.6%) in Group E+DU.
The male-to-female preponderance of EE was 2.3:1. Hiatus hernia was found in 85 patients (6. 7 % ) their mean age was significantly older than those without hiatus hernia (60. 0±17. 1 vs 49. 5±16. 8 , P <0. 001). But no difference in the distribution of severity of esophagitis was found between patients with and without hiatus hernia.
食管裂孔疝见于6.7%(85/ 1263)的病例,其平均年龄明显大于无食管裂孔疝患者(60.0±17.1 vs 49.5±16.8,P<0.001),但两组病变的严重程度情况相似。
Results The contrast medium flow back to inferior segment of esophagus in 4 cases, middle segment of esophagus 19 cases and superior segment of esophagus 7 cases, the complications of backflow esophagitis 8 cases, aspiration pneumonitis 3 cases, esophago-tracheal fistula 1 case, early esophageal hiatal hernia 1 case, pylorospasm 2 cases.
In hiatal hernia group ,the peristaltic amplitudes of proximal and distal esophagus (51.3±5.4 mmHg and 83.6±8.3 mmHg) were significantly higher than those in the other three groups , while esophagitis group was significantly the lowest .
The autor reports on 230 patients with esophageal hiatus hernia, 188 of whom were subjected to surgery.
This hyperplastic fatty tissue extends in the esophageal hiatus and could act as the precursor of hiatal hernia.
Of an average of 31 examined lymph nodes per specimen, 77 % of all tumors showed positive lymph nodes at the left gastric artery, 46 % at the esophageal hiatus, and 24 % of lymph nodes were paraesophageal.
The esophageal hiatus lies in the muscular part of the diaphragm.
Herniation of abdominal viscera through the esophageal hiatus is a rare complication following surgery for esophageal malignancies.
Therefore, this character is unsuitable for species diagnosis, the more so that no hiatus in it between the three forms of pearl mussels has been revealed in any of the samples studied.
The existence of the pre-Early Vendian hiatus in the Bashkir Meganticlinorium is supported by large incised valleys filled with Early Vendian sediments both on the western and eastern limbs of the meganticlinorium.
Twenty high-frequency cycles of sealevel fluctuation in the Paleocaspian Sea are identified within the major productive Kirmaki, Suprakirmaki sandy, Suprakirmaki clayey, Hiatus, and Balakhany formations.
Rapid and abrupt decrease in alkalinity during hiatus and desiccation periods resulted in the precipitation of dissolved silica and silicification of near-surface sediments.
Lateral distribution of silicification was controlled by the redistribution of silica during the pre-Vendian hiatus, when surface waters were filtered through a carbonate massif with the simultaneous karst formation and silica dissolution.
Esophageal hiatal hernias (EHH) are probably caused by congenital, traumatic, or iatrogenic factors, although the etiology remains unknown.
The Presence and Severity of Vertebral Fractures is Associated with the Presence of Esophageal Hiatal Hernia in Postmenopausal W
We examined the relationship between the presence of esophageal hiatal hernia (HH) assessed by endoscopy and the presence of vertebral fractures (VFs) in 87 Japanese postmenopausal women (age range 52-87 years).
The rationale and indications for gastropexy plus fundoplication in the surgical treatment of esophageal hiatal hernia are discussed.
If anatomical evaluation indicates surgical failure (eg, slipped or loose fundoplication, recurrent hiatal hernia), earlier reoperation may be warranted.
Technical alternatives may selectively be chosen, when gastroesophageal reflux disease is complicated by fixated hiatal hernia, esophageal shortening, or serious esophageal motility disorders.
Perforation into the heart is a rare ulcer complication in a hiatal hernia.
As a consequence, recurrent hiatal hernia or thoracic placement of the fundoplication with unfavorable functional results can occur.
Hiatal hernias, gastroesophageal reflux, esophageal strictures, Candida esophagitis, herpes esophagitis, diabetes mellitus, and chronic alcoholism have been found associated with intramural pseudodiverticulosis.