Abu-Freha Naim, Guterman Revital, Elhayany Ruhama, Yitzhak Avraham, Hudes Shira Sophie, Fich Alexander
Assuta Medical Center, Gastroenterology Institute, Beer-Sheva, Israel.
Faculty of Health Sciences, Ben Gurion University of the Negev, Beer-Sheva, Israel.
Gastroenterol Rep (Oxf). 2024 Sep 12;12:goae086. doi: 10.1093/gastro/goae086. eCollection 2024.
Hiatal hernia (HH) is a common finding in gastroscopy. The aim of the present study was to investigate the frequency rate of HH among patients who underwent esophagogastroduodenoscopy (EGD) according to their age, gender, and procedural indication.
A multicenter, retrospective study including all EGDs was conducted across seven endoscopy departments between 2016 and 2021. Demographic information, procedural indications, and findings from the initial EGD were collected.
Of the 162,608 EGDs examined, 96,369 (59.3%) involved female patients. HH was identified in 39,619 (24.4%) of all EGDs performed, comprising small HH in 31,562 (79.6%) and large HH in 3,547 (9.0%). The frequency of HH was 16.5% in the age group of ≤50 years and 37.3% in those aged ≥81 years. HH was diagnosed in 38.7% (11,370) of patients with heartburn/reflux symptoms, 31.5% of those with dysphagia, 28.5% of those with positive fecal occult blood tests, and 24.3% of those who would undergo bariatric surgery. Age (odds ratio 1.030), female gender (odds ratio 1.309), reflux symptoms (odds ratio 2.314), and dysphagia (odds ratio 1.470) were identified as predictors for HH.
Risk factors for HH diagnosed by EGD in symptomatic patients were shown to be advanced age, female gender, and the presence of heartburn or dysphagia.
食管裂孔疝（HH）是胃镜检查中常见的发现。本研究的目的是根据年龄、性别和检查指征，调查接受食管胃十二指肠镜检查（EGD）的患者中HH的发生率。
2016年至2021年期间，在七个内镜科室进行了一项多中心回顾性研究，纳入了所有接受EGD检查的患者。收集了人口统计学信息、检查指征以及初次EGD检查的结果。
在162,608例接受EGD检查的患者中，96,369例（59.3%）为女性患者。在所有进行的EGD检查中，共发现39,619例（24.4%）HH，其中小HH 31,562例（79.6%），大HH 3,547例（9.0%）。HH的发生率在≤50岁年龄组中为16.5%，在≥81岁年龄组中为37.3%。在有烧心/反流症状的患者中，38.7%（11,370例）被诊断为HH，吞咽困难患者中为31.5%，粪便潜血试验阳性患者中为28.5%，接受减重手术的患者中为24.3%。年龄（优势比1.030）、女性（优势比1.309）、反流症状（优势比2.314）和吞咽困难（优势比1.470）被确定为HH的预测因素。
有症状患者中经EGD诊断的HH的危险因素为高龄、女性以及存在烧心或吞咽困难。
