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- W2514617444 abstract "WestGermany Summary Theendoscopic diagnosis ofhiatal hernia (sliding type) relies ondirect andindirect criteria during the oesophagoscopic orgastroscopic approach. A wide separation betweentheanatomic and mucosal oesophago-gastric junction, thepresence ofaso-called Schatzki-ring, a wandering junction withsliding gastric mucosal folds during inspiration andtworinglikestructures areimportant. Whereasradiology seemstobesuperior toendoscopy inthediagnosis of asymptomatic hiatus hernia, oesophagoscopy may reveal sequelae ofreflux like oesophagitis, erosions, ulcers andstrictures. Peptic oesophagitis isfound in about10%tocauseuppergastrointestinal haemorrhage. THEincidence ofhiatal hernia varies between 1and 70°Oinvarious studies depending ontheenthusiasm oftheexaminer andthetechnique ofprovocation. Although certain endoscopic criteria ofhiatus hernia havebeenestablished, radiology seems thediagnostic procedure ofchoice todemonstrate thepresence and size ofahiatus hernia. Fromtheendoscopic point of viewitisoftendifficult todifferentiate between achalasia, cardiac sphincter insufficiency andasmall hiatus hernia; theidentification alsovaries withthe technique applied wheretheoesophagoscopic inspection isusually morereliable (Roesch and Ottenjann, 1969). Thetypeoftheinstrument usedmayalsobeof importance (Trujillo, Slaughter andBoyce,1968). Thesquamocolumnar junction varies itslocation frequently forming anindented line whichoften lies within thethorax, 2or3cmproximal totheanatomical union. A reflux oesophagitis maymaskthis zig-zag line; Palmer's (1967) criteria fortheoesophagoscopic diagnosis ofsliding typehiatal herniathefinding oftheoesophagogastric mucosal junction abovethediaphragm at40cm orless fromthe incisors, istherefore unreliable. Thesameistruefor thepresence ofgastro-oesophageal" @default.
- W2514617444 created "2016-09-16" @default.
- W2514617444 creator A5079796039 @default.
- W2514617444 date "1974-01-01" @default.
- W2514617444 modified "2023-10-18" @default.
- W2514617444 title "Gastro-oesophageal reflux andhiatus hernia-endoscopy" @default.
- W2514617444 cites W1964122626 @default.
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- W2514617444 hasPublicationYear "1974" @default.
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