Hiatus hernia diagnostic study of choice: Difference between revisions
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===== Study of choice: ===== | ===== Study of choice: ===== | ||
* '''High resolution manometry''' with esophageal pressure topography (EPT) is the most sensitive test test for the diagnosis of hiatal hernia.<ref name="pmid18656819">{{cite journal |vauthors=Kahrilas PJ, Kim HC, Pandolfino JE |title=Approaches to the diagnosis and grading of hiatal hernia |journal=Best Pract Res Clin Gastroenterol |volume=22 |issue=4 |pages=601–16 |date=2008 |pmid=18656819 |pmc=2548324 |doi=10.1016/j.bpg.2007.12.007 |url=}}</ref><ref name="pmid22148113">{{cite journal |vauthors=Cho YK |title=High-resolution manometry for assessing hiatal hernia in a patient with severe reflux esophagitis |journal=J Neurogastroenterol Motil |volume=17 |issue=4 |pages=421–2 |date=October 2011 |pmid=22148113 |pmc=3228984 |doi=10.5056/jnm.2011.17.4.421 |url=}}</ref><ref name="pmid22320417">{{cite journal |vauthors=Khajanchee YS, Cassera MA, Swanström LL, Dunst CM |title=Diagnosis of Type-I hiatal hernia: a comparison of high-resolution manometry and endoscopy |journal=Dis. Esophagus |volume=26 |issue=1 |pages=1–6 |date=January 2013 |pmid=22320417 |doi=10.1111/j.1442-2050.2011.01314.x |url=}}</ref> | * '''High resolution manometry''' with esophageal pressure topography (EPT) is the most sensitive test test for the diagnosis of hiatal hernia.<ref name="pmid18656819">{{cite journal |vauthors=Kahrilas PJ, Kim HC, Pandolfino JE |title=Approaches to the diagnosis and grading of hiatal hernia |journal=Best Pract Res Clin Gastroenterol |volume=22 |issue=4 |pages=601–16 |date=2008 |pmid=18656819 |pmc=2548324 |doi=10.1016/j.bpg.2007.12.007 |url=}}</ref><ref name="pmid22148113">{{cite journal |vauthors=Cho YK |title=High-resolution manometry for assessing hiatal hernia in a patient with severe reflux esophagitis |journal=J Neurogastroenterol Motil |volume=17 |issue=4 |pages=421–2 |date=October 2011 |pmid=22148113 |pmc=3228984 |doi=10.5056/jnm.2011.17.4.421 |url=}}</ref><ref name="pmid22320417">{{cite journal |vauthors=Khajanchee YS, Cassera MA, Swanström LL, Dunst CM |title=Diagnosis of Type-I hiatal hernia: a comparison of high-resolution manometry and endoscopy |journal=Dis. Esophagus |volume=26 |issue=1 |pages=1–6 |date=January 2013 |pmid=22320417 |doi=10.1111/j.1442-2050.2011.01314.x |url=}}</ref><ref>{{cite journal|doi=10.1016/S0016-5085}}</ref> | ||
* The following result of high resolution manometry is sensitive of hiatal hernia. | * The following result of high resolution manometry is sensitive of hiatal hernia. | ||
** Evidence of separation of the crural diaphragm from the lower esophageal sphincter (LES). | ** Evidence of separation of the crural diaphragm from the lower esophageal sphincter (LES). | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
when a patient is suspected for having a sliding hiatus hernia and symptoms of gastroesophageal reflux disease (GERD) which includes regurgitation, heartburn and dysphagia epigastric pain or fullness, nausea, or vomiting. Most of the time hiatus hernia is diagnosed incidentally.
Diagnostic Study of Choice
Study of choice:
- High resolution manometry with esophageal pressure topography (EPT) is the most sensitive test test for the diagnosis of hiatal hernia.[1][2][3][4]
- The following result of high resolution manometry is sensitive of hiatal hernia.
- Evidence of separation of the crural diaphragm from the lower esophageal sphincter (LES).
- Real-time localization of the esophagogastric junction.
- Identification of intermittent herniation.
The comparison table for diagnostic studies of choice for High resolution manometry and endoscopy.[5]
| Sensitivity | Specificity | |
|---|---|---|
| High resolution manometry | 92% | 95% |
| Endoscopy | 73% | 73% |
References
- ↑ Kahrilas PJ, Kim HC, Pandolfino JE (2008). "Approaches to the diagnosis and grading of hiatal hernia". Best Pract Res Clin Gastroenterol. 22 (4): 601–16. doi:10.1016/j.bpg.2007.12.007. PMC 2548324. PMID 18656819.
- ↑ Cho YK (October 2011). "High-resolution manometry for assessing hiatal hernia in a patient with severe reflux esophagitis". J Neurogastroenterol Motil. 17 (4): 421–2. doi:10.5056/jnm.2011.17.4.421. PMC 3228984. PMID 22148113.
- ↑ Khajanchee YS, Cassera MA, Swanström LL, Dunst CM (January 2013). "Diagnosis of Type-I hiatal hernia: a comparison of high-resolution manometry and endoscopy". Dis. Esophagus. 26 (1): 1–6. doi:10.1111/j.1442-2050.2011.01314.x. PMID 22320417.
- ↑ . doi:10.1016/S0016-5085. Missing or empty
|title=(help) - ↑ Weijenborg PW, van Hoeij FB, Smout AJ, Bredenoord AJ (February 2015). "Accuracy of hiatal hernia detection with esophageal high-resolution manometry". Neurogastroenterol. Motil. 27 (2): 293–9. doi:10.1111/nmo.12507. PMID 25620528.