Chen Dong, Tian Shurui, Hu Zhiwei, Wu Jimin
Department of Gastroesophageal Surgery, PLA Rocket Force Characteristic Medical Center, Beijing, China.
Gastroenterol Res Pract. 2020 May 16;2020:9180167. doi: 10.1155/2020/9180167. eCollection 2020.
Information from patients who underwent endoscopy and CT scan in our department was collected and analyzed retrospectively. Three-dimensional reconstruction of hiatus from CT images was performed using 3DSlicer software, and the degree of esophageal hiatus enlargement was compared with the degree of gastroesophageal laxity under retroflexed endoscopy.
Information from 104 patients was included for analysis. The Spearman correlation coefficient was 0.617 ( ≤ 0.001). When subgroup correlation analysis was performed according to the presence of hiatal hernia on CT, the Spearman correlation coefficient was 0.816 ( ≤ 0.001) in the hernia group and 0.351 ( = 0.002) in the nonhernia group. The proportion of hiatal hernia and severe esophagitis was increasing gradually with the degree of gastroesophageal laxity.
The degree of gastroesophageal laxity (cardia or hiatus) under retroflexed endoscopy reflects the degree of esophageal hiatus enlargement; with the degree of gastroesophageal laxity increasing, the proportion of HH and severe esophagitis increases gradually. This may be useful for physicians in China to guide themselves in the selection of patients for endoscopic antireflux treatment.
回顾性收集并分析在我科接受内镜检查和CT扫描的患者信息。使用3DSlicer软件对CT图像进行食管裂孔三维重建，并在内镜反转下将食管裂孔扩大程度与胃食管松弛程度进行比较。
纳入104例患者的信息进行分析。Spearman相关系数为0.617（P≤0.001）。根据CT上是否存在食管裂孔疝进行亚组相关分析时，疝组的Spearman相关系数为0.816（P≤0.001），非疝组为0.351（P = 0.002）。食管裂孔疝和重度食管炎的比例随胃食管松弛程度逐渐增加。
内镜反转下的胃食管松弛程度（贲门或食管裂孔）反映食管裂孔扩大程度；随着胃食管松弛程度增加，食管裂孔疝和重度食管炎的比例逐渐增加。这可能有助于中国医生在选择内镜抗反流治疗患者时进行自我指导。
