CHARACTERISTICS OF HIATAL HERNIA IN PATIENTS WITH GASTROESOPHAGEAL REFLUX DISEASE
Main Article Content
Abstract
Objective: To describle characteristics, endoscopic images, and determine some risk factors of hiatal hernia in patients with gastroesophageal reflux disease (GERD). Subjects and Methods: A descriptive study was conducted on GERD patients with and without hiatal hernia at the Department of Gastroenterology, 108 Central Military Hospital, and the General Internal Medicine Department, Hanoi Medical University Hospital, from September 2023 to October 2024. Results: 175 patients met the selection criteria. The rate of hiatal hernia in GERD patients was 22.3%, all of them are type I (sliding). The common symptoms were regurgitation and heartburn (74.4%), sensation of a lump in the throat (35.9%), epigastric pain (33.3%), and persistent dry cough (20.5%). The mean GerdQ score in patients with a hernia was 10.3 ± 1.82. 92.3% of patients with hiatal hernia had esophagitis on endoscopy. Multivariate regression analysis showed that age, GerdQ score, and disease duration are risk factors for hiatal hernia in GERD patients. Conclusion: The rate of hiatal hernia in GERD patients is 22.3%; age, GerdQ score, and disease duration are associated with hiatal hernia in GERD patients in our study.
Article Details
Keywords
Gastroesophageal reflux disease, GERD, GerdQ score, hiatal hernia.
References

2. F. Torresan, D. Mandolesi, A. Ioannou, et al. (2016), A new mechanism of gastroesophageal reflux in hiatal hernia documented by high-resolution impedance manometry: a case report, Ann Gastroenterol, vol 29(4), p. 548-550.

3. P. J. Kahrilas, H. C. Kim, J. E. Pandolfino (2008), Approaches to the diagnosis and grading of hiatal hernia, Best Pract Res Clin Gastroenterol, vol 22(4), p. 601-16.

4. Giovanni Guglielmo Laracca, Andrea Spota,Silvana Perretta (2020), Optimal workup for a hiatal hernia, Annals of Laparoscopic and Endoscopic Surgery, vol 6.

5. B. Block (2011), Endoscopy of the Upper GI Tract: A Training Manual, Thieme.

6. L. D. Hill, R. A. Kozarek, S. J. Kraemer, et al. (1996), The gastroesophageal flap valve: in vitro and in vivo observations, Gastrointest Endosc, vol 44(5), p. 541-7.

7. Lê Ngọc Thanh (2015), Nghiên cứu mối liên quan giữa thoát vị hoành và trào ngược dạ dày thực quản, Luận văn thạc sỹ y học, Đại học Y Hà Nội.

8. Olga Truba, Joanna Żuchowska, Elżbieta M. Grabczak, et al. (2023), Does hiatal hernia impact gastro-oesophageal reflux-related chronic cough?, ERJ Open Research, vol 9(2), p. 00669-2022.

9. Alberto Pilotto, Marilisa Franceschi, Gioacchino Leandro, et al. (2006), Clinical features of reflux esophagitis in older people: a study of 840 consecutive patients, Journal of the American Geriatrics Society, vol 54(10), p. 1537-1542.

10. Shyam Menon, Nigel Trudgill (2011), Risk factors in the aetiology of hiatus hernia: a meta-analysis, European Journal of Gastroenterology & Hepatology, vol 23(2), p. 133-138.
