The prevalence of gastroesophageal (GE) mucosal prolapse in patients with gastroesophageal reflux disease (GERD) was investigated as well as the clinical profile and treatment outcome of these patients. Of the patients who were referred to our service between 1980 and 2008, those patients who received a complete diagnostic work-up, and were successively treated and followed up at our center with interviews, radiology studies, endoscopy, and, when indicated, esophageal manometry and pH recording were selected. The prevalence of GE prolapse in GERD patients was 13.5% (70/516) (40 males and 30 females with a median age of 48, interquartile range 38-57). All patients had dysphagia and reflux symptoms, and 98% (69/70) had epigastric or retrosternal pain. Belching decreased the intensity or resolved the pain in 70% (49/70) of the cases, gross esophagitis was documented in 90% (63/70) of the cases, and hiatus hernias were observed in 62% (43/70) of the cases. GE prolapse in GERD patients was accompanied by more severe pain (P < 0.05) usually associated with belching, more severe esophagitis, and dysphagia (P < 0.05). A fundoplication was offered to 100% of the patients and was accepted by 56% (39/70) (median follow up 60 months, interquartile range 54-72), which included two Collis-Nissen techniques for true short esophagus. Patients who did not accept surgery were medically treated (median follow up 60 months, interquartile range 21-72). Persistent pain was reported in 98% (30/31) of medical cases, belching was reported in 45% (14/31), and GERD symptoms and esophagitis were reported in 81% (25/31). After surgery, pain was resolved in 98% (38/39) of the operative cases, and 79% (31/39) of them were free of GERD symptoms and esophagitis. GE prolapse has a relatively low prevalence in GERD patients. It is characterized by epigastric or retrosternal pain, and the need to belch to attenuate or resolve the pain. The pain is allegedly a result of the mechanical consequences of prolapse of the gastric mucosa into the esophagus.
Prevalence and clinical picture of gastroesophageal prolapse in gastroesophageal reflux disease / Aramini, B; Mattioli, S; Lugaresi, M; Brusori, S; Di Simone, MP; D'Ovidio, F.. - In: DISEASES OF THE ESOPHAGUS. - ISSN 1120-8694. - 25:6(2012), pp. 491-497.
|Data di pubblicazione:||2012|
|Data di prima pubblicazione:||ago-2012|
|Titolo:||Prevalence and clinical picture of gastroesophageal prolapse in gastroesophageal reflux disease.|
|Autore/i:||Aramini, B; Mattioli, S; Lugaresi, M; Brusori, S; Di Simone, MP; D'Ovidio, F.|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1111/j.1442-2050.2011.01280.x|
|Codice identificativo ISI:||WOS:000307382700003|
|Codice identificativo Scopus:||2-s2.0-84865024380|
|Codice identificativo Pubmed:||22103797|
|Citazione:||Prevalence and clinical picture of gastroesophageal prolapse in gastroesophageal reflux disease / Aramini, B; Mattioli, S; Lugaresi, M; Brusori, S; Di Simone, MP; D'Ovidio, F.. - In: DISEASES OF THE ESOPHAGUS. - ISSN 1120-8694. - 25:6(2012), pp. 491-497.|
|Tipologia||Articolo su rivista|
I documenti presenti in Iris Unimore sono rilasciati con licenza Creative Commons Attribuzione - Non commerciale - Non opere derivate 3.0 Italia, salvo diversa indicazione.
In caso di violazione di copyright, contattare Supporto Iris