[食管裂孔疝。使用遥测式海德堡胶囊检测胃食管反流]

[Hernia hiatal. Detection of gastroesophageal reflux with the telemetric Heidelberg capsule].

作者信息

Rosales T C, Fernández A C, Espinoza L A

出版信息

Arq Gastroenterol. 1979 Jan-Mar;16(1):12-9.

Abstract

120 patients with upper gastrointestinal symptoms were studied and submitted to gastric secretory tests, upper gastrointestinal X-rays and endoscopy. Gastroesophageal reflux was assessed by means of a Heidelberg telemetric capsule. 60 patients had hiatal hernia. Gastroesophageal reflux was present in 63.33%. 76% of the patients with hiatal hernia had gastroesophageal reflux, especially on those with small hernias and on the 5th and 6th decade of life. Gastric hiperacidity facilitates the incidence and presence of reflux. X-rays and endoscopy allowed us to diagnose diseases at the gastroesophageal junction. The correlation between these 2 methods and the presence or not of reflux, allowed differentiation between patients with organic diseases and patients with "functional" symptoms.

摘要

对120例有上消化道症状的患者进行了研究，并进行了胃分泌试验、上消化道X线检查和内镜检查。采用海德堡遥测胶囊评估胃食管反流情况。60例患者有食管裂孔疝。胃食管反流发生率为63.33%。76%的食管裂孔疝患者有胃食管反流，尤其是小疝患者以及50和60岁年龄段的患者。胃酸过多会增加反流的发生率和存在情况。X线检查和内镜检查使我们能够诊断胃食管交界处的疾病。这两种方法与反流存在与否之间的相关性，有助于区分器质性疾病患者和有“功能性”症状的患者。