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Indian Journal of Gastroenterology

, Volume 29, Issue 5, pp 184–186 | Cite as

Endoscopic observations around the gastroesophageal junction in patients with symptomatic gastroesophageal reflux disease in South Asia

  • Navarathne M. M. Navarathne
  • Vasitha Abeysuriya
  • A. Ileperuma
  • U. L. Thoufeek
Original Article

Abstract

Introduction

We studied the inter-relationships of endoscopic findings around the gastroesophageal junction in patients with symptomatic gastroesophageal reflux.

Methods

Data were collected with regard to hiatus hernia (HH), columnar-lined esophagus (CLE), reflux esophagitis (RE) and gastroesophageal flap valve (GEFV), prospectively from 1,150 patients who underwent diagnostic upper gastrointestinal endoscopy for symptomatic gastroesophageal reflux.

Results

The frequency of HH, CLE and RE was 14.3% (n = 165), 9.5% (n = 109) and 13.3% (n = 153), respectively. In the CLE group, 48 were histologically proven to have Barrett’s esophagus. Of all RE patients, 94.8% had mild esophagitis (LA-A and B) and this was associated with younger age, male gender, presence of HH, and grade 3 or 4 gastroesophageal flap valve (GEFV). Grades 3 and 4 GEFV were associated with HH, CLE, and RE.

Conclusions

Substantial proportion of patients with symptoms of GERD has abnormal endoscopic findings around the gastroesophageal junction.

Keywords

Columnar-lined esophagus Endoscopy Gastroesophageal flap valve Hiatus hernia Reflux esophagitis 

Notes

Conflict of interests

None declared.

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Copyright information

© Indian Society of Gastroenterology 2010

Authors and Affiliations

  • Navarathne M. M. Navarathne
    • 1
  • Vasitha Abeysuriya
    • 1
  • A. Ileperuma
    • 2
  • U. L. Thoufeek
    • 1
  1. 1.Department of GastroenterologyThe National Hospital of Sri LankaColomboSri Lanka
  2. 2.Department of PathologyThe National Hospital of Sri LankaColomboSri Lanka

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