Resumo

TAGLE ARROSPIDE, M; AGUINAGA MEZA, M  e  VASQUEZ RUBIO, G. Hernia Hiatal como factor de riesgo para Esofagitis Erosiva: Experiencia y hallazgos endoscópicos de una población peruana con Pirosis. Rev. gastroenterol. Perú [online]. 2003, vol.23, n.1, pp.36-40. ISSN 1022-5129.

SUMMARY Aim: To describe the endoscopic findings in adult patients subjected to esophagogastroduodenoscopy (EGD) for the evaluation of heartburn, and establish a relationship between the presence of a hiatal hernia and erosive esophagitis. Patients and Methods: We reviewed the endoscopic reports of all the patients older than 16 years old who were evaluated for heartburn in our institution, between December 1998 and December 2001. The statistical analysis to establish the relationship between Hiatal Hernia (HH) and Erosive Esophagitis (EE) was performed calculating the Odds Ratio (OR). Results: A total of 1270 outpatient EGD were performed in the study period, of which 345 (27%) had persistent heartburn as the indication for the procedure. There were 174 females (50.43%) and 171 males (49.57%). Erosive esophagitis was diagnosed in 151 (44%). Fifty-eight (17%) patients had EE in the absence of a HH, 63 (18%) had HH in the absence of EE. Ninety-three patients (27%) had both HH and EE, 20 (6%) of patients had histologically confirmed Barrett’s esophagus, 91 (26%) had other non-related findings such as antral gastritis and 36 (10%) had normal EGD.

Palavras-chave : Erosive esophagitis; hiatal hernia; heartburn.

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