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Author: De Luca Leonardo Di Giorgio Pietro Signoriello Giuseppe Sorrentino Enrico Rivellini Giuseppe Amore Emilia D' De Luca Bruno Murray Joseph A.
Publisher: Springer Publishing Company
ISSN: 0163-2116
Source: Digestive Diseases and Sciences, Vol.49, Iss.2, 2004-02, pp. : 243-247
Disclaimer: Any content in publications that violate the sovereignty, the constitution or regulations of the PRC is not accepted or approved by CNPIEC.
Abstract
Several theories explain the development of hiatal hernia (HH). Since inguinal hernia (IH) is due to abdominal wall herniation, we hypothesized that if HH is caused by an excessive “push” from increased intraabdominal pressure, there would be a greater than chance association between HH and IH. The aim of this prospective case–control study was to determine the relationship between HH, identified at endoscopy, and IH, found on clinical examination. Outpatients, who were referred for elective upper GI endoscopy at the Endoscopic Unit, from January 1999 to December 1999, were evaluated. Data were collected regarding gender, age, BMI, presence or absence of HH, length of HH, and presence of IH on detailed abdominal examination of each subject. Five hundred fifty-nine outpatients were enrolled in this study. Of these, 128 (23%) had HH, whereas 431 (77%) patients did not. The average length of the HH was 2.7 ± 0.9 cm (range, 1.5–6 cm). The overall risk of IH in patients with HH is 2.5-fold compared to those without HH (
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