Abstract:
AIMS AND OBJECTIVES:
To study the patient clinical profile which includes age, sex, BMI, abdominal
girth, abdominal tone, the dietary habits, symptomatology and endoscopy
findings of the patients with hiatus hernia.
METHODS:
This is a prospective cross-sectional observational study of 115 patients
presenting with Hiatus hernia on upper GI scopy in B.L.D.E. (D.U)’S Shri B.M.
Patil Medical College Hospital.
RESULTS:
Out of 115 patients, 29.6% belonged to the age group of 21-30 years, 69.6%
were males and 67% had normal range of BMI. Most common presenting
symptoms were epigastric pain (52.2%) and heartburn (26.1%). The most
common clinical diagnosis made before upper GI endoscopy was GERD
(gastro-esophageal reflux disease) (41.7%), followed by gastritis (23.5%).
Reflux esophagitis (74.8%) was most commonly associated finding with hiatus
hernia.
CONCLUSION:
According to older studies, hiatus hernia was considered to be a disease of old
age, females and obese individuals. But not much studies have been done
regarding the incidence of hiatus hernia in recent times. In this study, we
concluded that incidence of hiatus hernia is more common in males, young
adults and even non-obese individuals. Hiatus hernia is not significantly
associated with lifestyle changes like smoking or other habits and food
consumption. This in contradiction to the older studies done on hiatus hernia
and signifies the changing trends of incidence of hiatus hernia.
