Correlation Between Computerized Tomography Findings and DeMeester Score and Esophagogastroduodenoscopy Findings in Patients with GERD-like Symptoms GERH Benzeri Semptomları Olan Hastalarda Bilgisayarlı Tomografi Bulguları ile DeMeester Skoru ve Özofagogastroduodenoskopi Bulguları Arasındaki İlişki
Medical Journal of Bakirkoy, cilt.17, sa.4, ss.327-333, 2021 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 17 Sayı: 4
- Basım Tarihi: 2021
- Doi Numarası: 10.4274/bmj.galenos.2021.58569
- Dergi Adı: Medical Journal of Bakirkoy
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, CINAHL, EMBASE, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.327-333
- Anahtar Kelimeler: Gastroesophageal reflux, DeMeester score, endoscopy, hiatal hernia, pH-metry, tomography
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Radiological imaging has a limited role in the initial diagnosis of gastroesophageal reflux disease (GERD) without complications. This study aimed to investigate the correlation with the presence of hiatal hernia (HH), the number of hiatal area pixels, the angle of His on computerized tomography (CT) imaging, esophagogastroduodenoscopy (EGD) findings, and DeMeester scores in patients with GERD-like symptoms. Methods: This retrospective study included 46 consecutive patients with typical GERD-related symptoms. All patients underwent EGD examinations. Patients were divided into two groups as HH and hiatal insufficiency based on the EGD results. The DeMeester score of >14.72 was considered abnormal acid reflux, whereas <14.72 was normal. Anatomical details of esophageal hiatus on CT were separately recorded. Results: A statistically significant correlation was found between EGD and CT imaging findings using the Pearson correlation test (p<0.05). No statistically significant difference was found between the number of hiatal area pixels and DeMeester scores using the Mann-Whitney U test (p=0.49). No statistically significant difference was found between the angle of His and DeMeester scores using the Mann-Whitney U test (p=0.45). Conclusion: Anatomical details of esophageal hiatus are correlated with endoscopy findings in CT imaging.