Hiatal Hernia Associated with Higher Odds of Dysplasia in Patients with Barrett’s Esophagus

2020 ◽  
Author(s):  
Joshua Y. Kwon ◽  
Alex M. Kesler ◽  
Herbert C. Wolfsen ◽  
Kenneth R. DeVault ◽  
Paul T. Kröner
Keyword(s):  
Hiatal Hernia ◽  
Barrett’S Esophagus ◽  
Barrett's Esophagus

Relation of hiatal hernia size with length of Barrett's esophagus

2003 ◽  
Vol 124 (4) ◽  
pp. A643
Author(s):  
David Desilets ◽  
Brian Nathanson ◽  
Farhad Navab
Keyword(s):  
Hiatal Hernia ◽  
Barrett’S Esophagus ◽  
Barrett's Esophagus ◽  
Hernia Size

scholarly journals ENDOSCOPIC CHANGES RELATED TO GASTROESOPHAGEAL REFLUX DISEASE: COMPARATIVE STUDY AMONG BARIATRIC SURGERY PATIENTS

2015 ◽  
Vol 28 (suppl 1) ◽  
pp. 36-38 ◽  
Author(s):  
Marco Aurelio SANTO ◽  
Sylvia Regina QUINTANILHA ◽  
Cesar Augusto MIETTI ◽  
Flavio Masato KAWAMOTO ◽  
Allan Garms MARSON ◽  
...  
Keyword(s):  
Los Angeles ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Hiatal Hernia ◽  
Barrett’S Esophagus ◽  
Reflux Disease ◽  
Barrett's Esophagus ◽  
Erosive Esophagitis ◽  
Los Angeles Classification ◽  
Bariatric Patients

Background : Obesity is correlated with several comorbidities, including gastroesophageal reflux disease. Its main complications are detectable by endoscopy: erosive esophagitis and Barrett's esophagus. Aim : To correlate erosive esophagitis and hiatal hernia with the degree of body mass index (BMI). Method : Was performed a retrospective analysis of 717 preoperative endoscopic reports of bariatric patients. Fifty-six (8%) presented hiatal hernia, being 44 small, nine medium and five large. Esophagitis was classified by Los Angeles classification. Results : There was no correlation between the presence and dimension of hiatal hernia with BMI. One hundred thirty-four (18.7%) patients presented erosive esophagitis. Among them, 104 (14.5%) had esophagitis grade A; 25 (3.5%) grade B; and five (0.7%) grade C. When considering only the patients with erosive esophagitis, 77.6% had esophagitis grade A, 18.7% grade B and 3.7% grade C. Were identified only two patients with Barrett's esophagus (0,28%). Conclusion : There was a positive correlation between the degree of esophagitis with increasing BMI.

scholarly journals RADIOFREQUENCY ABLATION IN TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE WITH BARRETT’S ESOPHAGUS

2019 ◽  
Vol 21 (1) ◽  
pp. 117-122
Author(s):  
K V Puchkov ◽  
E V Khabarova ◽  
E S Tishchenko
Keyword(s):  
Radiofrequency Ablation ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Hiatal Hernia ◽  
Barrett’S Esophagus ◽  
Reflux Disease ◽  
Barrett's Esophagus ◽  
Antireflux Surgery ◽  
Low Grade ◽  
Results Of Treatment

OBJECTIVE: To evaluate results of treatment of patients with Barrett’s esophagus, including radiofrequency ablation of columnar epithelium with antireflux surgery. METHODS: We treated82 patients with gastroesophageal reflux disease withBarrett’s esophagus between 2011 and 2018. 4 patients had low-grade dysplasia, 63 patients had hiatal hernia. We performed laparoscopic Toupet 2700 fundoplication in 58 of these patients.This allowedto perform radiofrequency ablation (RFA) procedure 2-3 months later in 27 of these patients. In 12 patients without radiological signs of hiatal hernia we performed RFA as the first treatment step. Follow-up endoscopy was performed 3,6 and 12 months after RFA. RESULTS: Metaplasia eradication wasachieved in 97,5% after 1 procedure and in 100% after 2 procedures. 6 months after treatment recurrence of metaplasia was registered in 2,4% patients. CONCLUSIONS: Changing security profile of new endoscopic treatment methods indicates the need for new strategies for Barrett’s esophagus. The most effective scheme is two-step treatment including antireflux surgery and radiofrequency ablation in combination with drug therapy.

Hiatal hernia, reflux esophagitis and Barrett's esophagus: endoscopic correlation

2005 ◽  
Vol 43 (05) ◽  
Author(s):  
G Lakatos ◽  
L Herszényi ◽  
I Hritz ◽  
M Juhász ◽  
P Miheller ◽  
...  
Keyword(s):  
Hiatal Hernia ◽  
Barrett’S Esophagus ◽  
Reflux Esophagitis ◽  
Barrett's Esophagus ◽  
Endoscopic Correlation

Hiatal hernia, Barrett’s esophagus, and long-term symptom control after laparoscopic fundoplication for gastroesophageal reflux

2012 ◽  
Vol 26 (11) ◽  
pp. 3225-3231 ◽  
Author(s):  
Johannes Miholic ◽  
Joumanah Hafez ◽  
Johannes Lenglinger ◽  
Fritz Wrba ◽  
Christiane Wischin ◽  
...  
Keyword(s):  
Gastroesophageal Reflux ◽  
Hiatal Hernia ◽  
Barrett’S Esophagus ◽  
Barrett's Esophagus ◽  
Laparoscopic Fundoplication ◽  
Symptom Control

scholarly journals Barrett’s Esophagus in Romania: what do we know?

2020 ◽  
Vol 58 (3) ◽  
pp. 111-118
Author(s):  
Claudia Piloiu ◽  
Dan L. Dumitrascu
Keyword(s):  
Risk Factors ◽  
Gastroesophageal Reflux ◽  
Hiatal Hernia ◽  
Barrett’S Esophagus ◽  
Barrett's Esophagus ◽  
Classification Systems ◽  
Endoscopic Techniques ◽  
Manual Search ◽  
The Status ◽  
H Pylori

AbstractBackground and aims. The incidence of Barrett’s Esophagus (BE) is increasing worldwide, thus diagnosis is becoming a major key of interest in preventing esophageal adenocarcinoma. Because the status of BE in Romania is unclear, we performed a narrative review to comprehensively evaluate all published articles on BE from Romania.Methods. We conducted a systematic literature search of PubMed data base and of all Romanian medical journals. The abstracts and the titles of the identified studies were reviewed to exclude the studies that did not answer the search question. In addition we performed a manual search to identify articles on this topic published earlier in local journals or not indexed on internet.Results. A total of 17 articles were found. 8 studies and 9 reviews were identified, with a total of 8,829 participants enrolled. The results showed that the median age ranges between 54–59 years, with a predominance for male sex, the main risk factors, such as gastroesophageal reflux disease, obesity, smoking, hiatal hernia, are also present in Romania and infection with H. pylori has a protective effect. The diagnosis of Barrett’s esophagus in Romania is established in agreement with international guidelines.Conclusions. There are not many publications on BE in Romania. However the data in this country are similar to those reported in other countries. The management is carried out according to standard guidelines. Diagnosing BE relies on endoscopic techniques and classification systems. Risk factors such as gastroesophageal reflux, hiatal hernia, obesity and Helicobacter pylori are considered in Romanian articles. More studies are welcome on this matter in our country.

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