1 Digestive Disease Unit, Oak Endoscopy Centre Port Harcourt, Rivers State, Nigeria.
2 Department of Surgery, University of Port Harcourt Teaching Hospital Port Harcourt, Rivers State, Nigeria.
3 Cardio-Thoracic Surgery Division, Department of Surgery, Lagos State University Teaching Hospital Ikeja, Lagos State, Nigeria.
Research Article
World Journal of Advanced Research and Reviews, 2020, 05(03), 163-169
Article DOI: 10.30574/wjarr.2020.5.3.0066
Received on 17 March 2020; revised on 26 March 2020; accepted on 28 March 2020
Hiatus hernia is an extramural factor in the integrity of the lower oesophageal sphincter (LOS) complex. An incompetence of this complex is the crux in pathogenesis of gastroesophageal reflux disease. This paper aims to study hiatus hernia and its association with erosive oesophagitis in Nigerian patients. It is a cross-sectional and retrospective study of patients undergoing upper gastrointestinal (GI) endoscopy with diagnosis of hiatus hernia made at a referral endoscopy facility located in Port Harcourt metropolis, Niger delta region of Nigeria, from February 2014 to September 2019. The variables collated included demographics, presence and severity of hiatus hernia and oesophagitis. Statistical analysis was performed using SPSS version 21. A total of 442 upper GI endoscopies were performed with 89 patients included in the study. The age range of study patients was from 11 years to 88 years; mean age of 50.4 ± 18.5 years. Of these, 49 (55.1%) were females and 40 (44.9%) males. Erosive oesophagitis was seen in 19 (21.3%) cases. The age of patients in study population was statistically significant for the size of hernia (p value = 0.027). Two (0.5%) cases of short segment Barret’s oesophagus with low grade dysplasia were recorded and no paraoesophageal hernia seen. Erosive oesophagitis and increasing size of hiatus hernia are common with aging. Barret’s oesophagus and paraoesophageal hernia are rare.
Hiatus hernia; Erosive oesophagitis; Endoscopy
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Ray-Offor Emeka and Falase Bode. Hiatus hernia and erosive oesophagitis at endoscopy in Nigerian patients. World Journal of Advanced Research and Reviews, 2020, 5(3), 163-169. Article DOI: https://doi.org/10.30574/wjarr.2020.5.3.0066