The Size of the Esophageal Hiatus in Gastroesophageal Reflux Pathophysiology: Outcome of Intraoperative Measurements

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dc.contributor.authorBatirel, Hasan Fevzi
dc.contributor.authorUygur-Bayramicli, Oya
dc.contributor.authorGiral, Adnan
dc.contributor.authorEkici, Buelent
dc.contributor.authorBekiroglu, Nural
dc.contributor.authorYildizeli, Bedrettin
dc.contributor.authorYueksel, Mustafa
dc.date.accessioned2024-07-12T21:50:44Z
dc.date.available2024-07-12T21:50:44Z
dc.date.issued2010en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractThe aim of the study was to investigate the impact of the size of the esophageal hiatus on lower esophageal sphincter pressure (LESP) and acid reflux. Patients with gastroesophageal reflux disease who underwent Nissen fundoplication in 2006-2008 were included. All underwent esophageal manometry and 22 had 24-h pH monitoring. The area of the esophageal hiatus was calculated from a photograph shot during surgery. A hiatal index was calculated via division of hiatal area with body mass index (BMI). Correlation and logistic regression analysis were performed. Twenty-eight patients (average age 44, 14 males) were enrolled. The mean BMI, LESP, DeMeester score, hiatal area, and hiatal index were 27 +/- 3.9 kg/m(2), 11.7 +/- 6.6 mmHg, 43 +/- 34, 3.83 +/- 1.24 cm(2), and 0.143 +/- 0.048, respectively. There was a significant negative correlation between hiatal area, hiatal index and LESP (-0.513, p = 0.005, r = -0.439, p = 0.019 respectively). Additionally there was a negative correlation between hiatal area and total LES length (r = -0.508, p = 0.013) and a significant positive correlation between hiatal area, hiatal index, and DeMeester scores (0.452, p = 0.035, 0.537, p = 0.01, respectively). Height and hiatal area were significant factors in multiple linear regression. The size of the esophageal hiatus significantly affects LESP and acid reflux, and hiatal index is a new value, which appears to reflect the amount of acid reflux. Total LES length is also shortened in patients with a large hiatus.en_US
dc.identifier.doi10.1007/s11605-009-1047-8
dc.identifier.endpage44en_US
dc.identifier.issn1091-255X
dc.identifier.issue1en_US
dc.identifier.pmid19779943en_US
dc.identifier.scopus2-s2.0-72749086808en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage38en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s11605-009-1047-8
dc.identifier.urihttps://hdl.handle.net/20.500.12415/8196
dc.identifier.volume14en_US
dc.identifier.wosWOS:000272800000009en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSPRINGERen_US
dc.relation.ispartofJOURNAL OF GASTROINTESTINAL SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY01904
dc.subjectGastroesophageal reflux diseaseen_US
dc.subjectHiatal herniaen_US
dc.subjectEsophageal hiatusen_US
dc.subjectIntraoperative measurementen_US
dc.titleThe Size of the Esophageal Hiatus in Gastroesophageal Reflux Pathophysiology: Outcome of Intraoperative Measurementsen_US
dc.typeArticle
dspace.entity.typePublication

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