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Predictive relationship of hiatal hernia to reflux esophagitis

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Abstract

The relationship between hiatal hernia and reflux esophagitis was compared in 93 patients who underwent both radiographic and endoscopic examination of the esophagus. In 46 patients with a normal esophagus shown endoscopically, hiatal hernia was present in 59%, while 94% of 47 patients with reflux esophagitis had hiatal hernia. The positive and negative predictive values for hiatal hernia in diagnosing or excluding esophagitis were 62% and 86%, respectively. Extrapolation of these data and review of the literature suggest that much of the confusion concerning the relationship between hiatal hernia and reflux esophagitis is based on reports of populations with considerable variation in the prevalence of esophagitis and in which the radiographie criteria for diagnosing hiatal hernia have not been uniformly applied.

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Authors and Affiliations

  1. Department of Radiology, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, North Carolina, USA

    David J. Ott M.D., David W. Gelfand, Yu Men Chen & H. Alexander Munitz

  2. Department of Medicine, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, North Carolina, USA

    Wallace C. Wu

Authors
  1. David J. Ott M.D.
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  2. David W. Gelfand
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  3. Yu Men Chen
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  4. Wallace C. Wu
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  5. H. Alexander Munitz
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Ott, D.J., Gelfand, D.W., Chen, Y.M. et al. Predictive relationship of hiatal hernia to reflux esophagitis. Gastrointest Radiol 10, 317–320 (1985). https://doi.org/10.1007/BF01893120

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  • DOI: https://doi.org/10.1007/BF01893120

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