Detailed Information

Cited 0 time in webofscience Cited 8 time in scopus
Metadata Downloads

Endoscopic findings around the gastroesophageal junction: An experience from a tertiary hospital in Korea

Authors
Kim J.H.Hwang J.K.Kim J.Lee S.D.Lee B.J.Kim J.S.Bak Y.-T.
Issue Date
2008
Keywords
Columnar-lined esophagus; Gastroesophageal flap valve; Hiatal hernia; Reflux esophagitis; Z-line appearance
Citation
Korean Journal of Internal Medicine, v.23, no.3, pp.127 - 133
Indexed
SCOPUS
KCI
Journal Title
Korean Journal of Internal Medicine
Volume
23
Number
3
Start Page
127
End Page
133
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/35799
DOI
10.3904/kjim.2008.23.3.127
ISSN
1226-3303
Abstract
Background/Aims: Important lesions related to gastroesophageal reflux disease (GERD) are located around the gastroesophageal junction (GEJ). This study examined the distribution of endoscopic findings around the GEJ and elucidated their relationship to each other and esophageal manometric features. Methods: Endoscopic data were collected prospectively from 2,450 consecutive diagnostic upper gastrointestinal endoscopies. The presence and degree of hiatal hernia (HH), columnar-lined esophagus (CLE), and reflux esophagitis (RE) were recorded. Esophageal manometric data were collected from 181 patients. Results: The prevalence of HH, CLE, and RE was 9.8, 18.8, and 9.9%, respectively. Of all HH and CLE cases, 62.8 and 98.9%, respectively, were of the short-segment variety. Of all RE cases, 95.0% were mild. Younger age, male gender, the presence of HH, and a higher gastroesophageal flap valve (GEFV) grades were associated with the presence of RE. Increased ZAP grades were associated with increased prevalence and grades of HH, CLE, and RE. Higher GEFV grades were associated with increased prevalence and grades of HH, CLE, and RE. Lower esophageal sphincter pressure (LESP) decreased in patients with HH or RE compared to those without HH or RE. Conclusions: Endoscopic findings around the GEJ revealed that a substantial proportion of our patients showed features potentially related to GERD. In combination with other recent reports, our study implies that Korea is no longer a very-low-prevalence area of GERD, although it may predominate in silent or milder forms.
Files in This Item
There are no files associated with this item.
Appears in
Collections
2. Clinical Science > Department of Gastroenterology and Hepatology > 1. Journal Articles

qrcode

Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.

Related Researcher

Researcher Bak, Young Tae photo

Bak, Young Tae
Guro Hospital (Department of Gastroenterology and Hepatology, Guro Hospital)
Read more

Altmetrics

Total Views & Downloads

BROWSE