Identifying clinically relevant sliding hiatal hernias: a population-based endoscopy study

Bengt Wallner; Ove Björ; Anna Andreasson; Per M. Hellström; Anna M. Forsberg; Nicholas J. Talley; Lars Agreus

doi:10.1080/00365521.2018.1458896

Identifying clinically relevant sliding hiatal hernias: a population-based endoscopy study

Bengt Wallner^*, Ove Björ, Anna Andreasson, Per M. Hellström, Anna M. Forsberg, Nicholas J. Talley, Lars Agreus

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

6 Citations (Scopus)

28 Downloads (Pure)

Abstract

Objectives: The clinical relevance of small to moderate sliding hiatal hernias is controversial. The aims of the present study were to (1) investigate which symptoms are associated with sliding hiatal hernias and (2) define the length of a sliding hiatal hernia at which gastrointestinal symptoms occur. Methods: A study population representative of the general Swedish population answered a questionnaire regarding gastrointestinal symptoms and was investigated with an upper endoscopy. The length of any sliding hiatal hernia was measured. Results: Only reflux-related symptoms were associated with length of the hiatal hernia (acid regurgitation OR 1.46, CI 1.19–1.79, heartburn OR 1.27, CI 1.05–1.54), and the association did not become significant until an axial hiatal hernia length of 2 cm. Conclusions: Only reflux symptoms could be attributed to sliding hiatal hernias. Hiatal hernias less than 2 cm should be considered clinically insignificant.

Original language	English
Pages (from-to)	657-660
Number of pages	4
Journal	Scandinavian Journal of Gastroenterology
Volume	53
Issue number	6
DOIs	https://doi.org/10.1080/00365521.2018.1458896
Publication status	Published - 2018

Bibliographical note

Copyright the Author(s) 2018. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

endoscopy
sliding hiatal hernia
gastroesophageal reflux
gastroesophageal junction

Access to Document

10.1080/00365521.2018.1458896Licence: CC BY-NC-ND

Publisher version (open access)Final published version, 1.43 MBLicence: CC BY-NC-ND

Cite this

@article{a4dc5683f49f49f394882f8f72fc0fea,

title = "Identifying clinically relevant sliding hiatal hernias: a population-based endoscopy study",

abstract = "Objectives: The clinical relevance of small to moderate sliding hiatal hernias is controversial. The aims of the present study were to (1) investigate which symptoms are associated with sliding hiatal hernias and (2) define the length of a sliding hiatal hernia at which gastrointestinal symptoms occur. Methods: A study population representative of the general Swedish population answered a questionnaire regarding gastrointestinal symptoms and was investigated with an upper endoscopy. The length of any sliding hiatal hernia was measured. Results: Only reflux-related symptoms were associated with length of the hiatal hernia (acid regurgitation OR 1.46, CI 1.19–1.79, heartburn OR 1.27, CI 1.05–1.54), and the association did not become significant until an axial hiatal hernia length of 2 cm. Conclusions: Only reflux symptoms could be attributed to sliding hiatal hernias. Hiatal hernias less than 2 cm should be considered clinically insignificant.",

keywords = "endoscopy, sliding hiatal hernia, gastroesophageal reflux, gastroesophageal junction",

author = "Bengt Wallner and Ove Bj{\"o}r and Anna Andreasson and Hellstr{\"o}m, {Per M.} and Forsberg, {Anna M.} and Talley, {Nicholas J.} and Lars Agreus",

note = "Copyright the Author(s) 2018. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.",

year = "2018",

doi = "10.1080/00365521.2018.1458896",

language = "English",

volume = "53",

pages = "657--660",

journal = "Scandinavian Journal of Gastroenterology",

issn = "0036-5521",

publisher = "Taylor & Francis",

number = "6",

}

TY - JOUR

T1 - Identifying clinically relevant sliding hiatal hernias

T2 - a population-based endoscopy study

AU - Wallner, Bengt

AU - Björ, Ove

AU - Andreasson, Anna

AU - Hellström, Per M.

AU - Forsberg, Anna M.

AU - Talley, Nicholas J.

AU - Agreus, Lars

N1 - Copyright the Author(s) 2018. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

PY - 2018

Y1 - 2018

N2 - Objectives: The clinical relevance of small to moderate sliding hiatal hernias is controversial. The aims of the present study were to (1) investigate which symptoms are associated with sliding hiatal hernias and (2) define the length of a sliding hiatal hernia at which gastrointestinal symptoms occur. Methods: A study population representative of the general Swedish population answered a questionnaire regarding gastrointestinal symptoms and was investigated with an upper endoscopy. The length of any sliding hiatal hernia was measured. Results: Only reflux-related symptoms were associated with length of the hiatal hernia (acid regurgitation OR 1.46, CI 1.19–1.79, heartburn OR 1.27, CI 1.05–1.54), and the association did not become significant until an axial hiatal hernia length of 2 cm. Conclusions: Only reflux symptoms could be attributed to sliding hiatal hernias. Hiatal hernias less than 2 cm should be considered clinically insignificant.

AB - Objectives: The clinical relevance of small to moderate sliding hiatal hernias is controversial. The aims of the present study were to (1) investigate which symptoms are associated with sliding hiatal hernias and (2) define the length of a sliding hiatal hernia at which gastrointestinal symptoms occur. Methods: A study population representative of the general Swedish population answered a questionnaire regarding gastrointestinal symptoms and was investigated with an upper endoscopy. The length of any sliding hiatal hernia was measured. Results: Only reflux-related symptoms were associated with length of the hiatal hernia (acid regurgitation OR 1.46, CI 1.19–1.79, heartburn OR 1.27, CI 1.05–1.54), and the association did not become significant until an axial hiatal hernia length of 2 cm. Conclusions: Only reflux symptoms could be attributed to sliding hiatal hernias. Hiatal hernias less than 2 cm should be considered clinically insignificant.

KW - endoscopy

KW - sliding hiatal hernia

KW - gastroesophageal reflux

KW - gastroesophageal junction

UR - http://www.scopus.com/inward/record.url?scp=85044938707&partnerID=8YFLogxK

U2 - 10.1080/00365521.2018.1458896

DO - 10.1080/00365521.2018.1458896

M3 - Article

C2 - 29616831

AN - SCOPUS:85044938707

VL - 53

SP - 657

EP - 660

JO - Scandinavian Journal of Gastroenterology

JF - Scandinavian Journal of Gastroenterology

SN - 0036-5521

IS - 6

ER -

Identifying clinically relevant sliding hiatal hernias: a population-based endoscopy study

Abstract

Bibliographical note

Keywords

Access to Document

Other files and links

Fingerprint

Cite this