Abstract
Hiatal disruption is one of the common mechanisms of failure after Nissen fundoplication. We investigated the correlation between various diaphragm stressors and disruption of the diaphragmatic closure. Thirty-seven patients with a hiatal hernia recurrence of 2 cm or greater, as proven by esophagram, endoscopy, or operatie findings, were included. A retrospective analysis was conducted utilizing a standardized diaphragm stressor questionnaire for the study group and a control group of 50 patients without hiatal hernia recurrence. Logistic regression was used to determine the significant predictors of hiatal hernia recurrence. Three predictors emerged in the final model: weight lifting (P <0.0174), vomiting (P <0.0313) and hiccoughing (P <0.2472). Of these, only vomiting and weight lifting were significant. The odds ratio for weight lifting is OR = 3.662 (95% CI: 1.256-10.676), and for vomiting it is OR = 4.938 (95% CI: 1.154-21.126). Vomiting or heavy weight lifting is a significant predictor of hiatal hernia recurrence.
| Original language | English |
|---|---|
| Pages (from-to) | 163-166 |
| Number of pages | 4 |
| Journal | Hernia : the journal of hernias and abdominal wall surgery |
| Volume | 6 |
| Issue number | 4 |
| DOIs | |
| State | Published - Dec 2002 |
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All Science Journal Classification (ASJC) codes
- Surgery
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The effect of diaphragmatic stressors on recurrent hiatal hernia. / Kakarlapudi, G. V.; Awad, Z. T.; Haynatzki, G.; Sampson, T.; Stroup, G.; Filipi, Charles.
In: Hernia : the journal of hernias and abdominal wall surgery, Vol. 6, No. 4, 12.2002, p. 163-166.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The effect of diaphragmatic stressors on recurrent hiatal hernia
AU - Kakarlapudi, G. V.
AU - Awad, Z. T.
AU - Haynatzki, G.
AU - Sampson, T.
AU - Stroup, G.
AU - Filipi, Charles
PY - 2002/12
Y1 - 2002/12
N2 - Hiatal disruption is one of the common mechanisms of failure after Nissen fundoplication. We investigated the correlation between various diaphragm stressors and disruption of the diaphragmatic closure. Thirty-seven patients with a hiatal hernia recurrence of 2 cm or greater, as proven by esophagram, endoscopy, or operatie findings, were included. A retrospective analysis was conducted utilizing a standardized diaphragm stressor questionnaire for the study group and a control group of 50 patients without hiatal hernia recurrence. Logistic regression was used to determine the significant predictors of hiatal hernia recurrence. Three predictors emerged in the final model: weight lifting (P <0.0174), vomiting (P <0.0313) and hiccoughing (P <0.2472). Of these, only vomiting and weight lifting were significant. The odds ratio for weight lifting is OR = 3.662 (95% CI: 1.256-10.676), and for vomiting it is OR = 4.938 (95% CI: 1.154-21.126). Vomiting or heavy weight lifting is a significant predictor of hiatal hernia recurrence.
AB - Hiatal disruption is one of the common mechanisms of failure after Nissen fundoplication. We investigated the correlation between various diaphragm stressors and disruption of the diaphragmatic closure. Thirty-seven patients with a hiatal hernia recurrence of 2 cm or greater, as proven by esophagram, endoscopy, or operatie findings, were included. A retrospective analysis was conducted utilizing a standardized diaphragm stressor questionnaire for the study group and a control group of 50 patients without hiatal hernia recurrence. Logistic regression was used to determine the significant predictors of hiatal hernia recurrence. Three predictors emerged in the final model: weight lifting (P <0.0174), vomiting (P <0.0313) and hiccoughing (P <0.2472). Of these, only vomiting and weight lifting were significant. The odds ratio for weight lifting is OR = 3.662 (95% CI: 1.256-10.676), and for vomiting it is OR = 4.938 (95% CI: 1.154-21.126). Vomiting or heavy weight lifting is a significant predictor of hiatal hernia recurrence.
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U2 - 10.1007/s10029-002-0081-1
DO - 10.1007/s10029-002-0081-1
M3 - Article
VL - 6
SP - 163
EP - 166
JO - Hernia : the journal of hernias and abdominal wall surgery
JF - Hernia : the journal of hernias and abdominal wall surgery
SN - 1265-4906
IS - 4
ER -