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Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition) ›› 2016, Vol. 03 ›› Issue (03): 121-123. doi: 10.3877/cma.j.issn.1674-6899.2016.03.005

Special Issue:

• Original Article • Previous Articles     Next Articles

Value of gastroscopy in the diagnosis of esophageal hiatal hernia

Yan Feng1,(), Feng Gao1()   

  1. 1. Department of Digestive Department, People′s Hospital of Xinjiang Uygur Autonomous Region, Urumuqi 830001, China
  • Received:2016-03-26 Online:2016-08-15 Published:2016-08-15
  • Contact: Yan Feng, Feng Gao
  • About author:
    Corresponding author: Feng Yan, Email:

Abstract:

Objective

To analyze the value of gastroscope in the diagnosis of esophageal hiatal hernia, and to discuss the diagnostic value of gastroscopy.

Methods

168 cases of esophageal hiatal hernia were retrospectively analyzed.The clinical manifestations, endoscopic features, and coexisting diseases of upper digestive tract were analyzed.

Results

188 cases of esophageal hiatal hernia were diagnosed by endoscopy, and the rate of coincidence was about 89.4% with X-ray diagnosis in 168 cases.Endoscopic features of gastric fundus is shallow, blunted His angle or disappeared in 106 cases, incisors from the dentate line was less than 38cm in 105 cases, 108 cases of cardia large relaxation of gastric mucosa, orange hernia into the esophageal cavity in 68 cases, the dentate line to the diaphragmatic hiatal ring, 81 cases of 3cm, 78 cases complicated with esophageal the inflammation of Barrett esophagus in 29 cases.

Conclusion

Gastroscopy is an important method for the diagnosis of esophageal hiatal hernia, and it has the value of definite diagnosis.

Key words: Endoscopy, Hernia, hiatus

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