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Identifying clinica...
Identifying clinically relevant sliding hiatal hernias : a population-based endoscopy study
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- Wallner, Bengt, 1962- (författare)
- Umeå universitet,Kirurgi,Umea Univ Hosp, Dept Surg & Perioperat Sci, Surg, SE-90185 Umea, Sweden
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- Björ, Ove, 1967- (författare)
- Umeå universitet,Onkologi,Umea Univ, Div Oncol, Dept Radiat Sci, Umea, Sweden
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- Andreasson, Anna (författare)
- Stockholms universitet,Stressforskningsinstitutet,Karolinska Institutet, Sweden; Macquarie University, Australia,Macquarie Univ, Dept Psychol, N Ryde, NSW, Australia;Karolinska Inst, Div Family Med & Primary Care, Huddinge, Sweden;Stockholm Univ, Stress Res Inst, Stockholm, Sweden
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- Hellström, Per M, 1954- (författare)
- Uppsala universitet,Gastroenterologi/hepatologi
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- Forsberg, Anna M. (författare)
- Karolinska Inst, Dept Med Solna, Stockholm, Sweden
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- Talley, Nicholas J. (författare)
- Karolinska Inst, Div Family Med & Primary Care, Huddinge, Sweden;Univ Newcastle, Fac Hlth & Med, Newcastle, NSW, Australia
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- Agreus, Lars (författare)
- Karolinska Institutet
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(creator_code:org_t)
- 2018-04-04
- 2018
- Engelska.
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Ingår i: Scandinavian Journal of Gastroenterology. - : Taylor & Francis. - 0036-5521 .- 1502-7708. ; 53:6, s. 657-660
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Abstract
Ämnesord
Stäng
- 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.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
Nyckelord
- Endoscopy
- sliding hiatal hernia
- gastroesophageal reflux
- gastroesophageal junction
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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