[논문]Analysis of computed tomographic findings according to gastroesophageal flap valve grade

Jeon, Hye Kyung; Kim, Gwang Ha; Lee, Nam Kyung; Kim, Suk; Lee, Bong Eun; Song, Geun Am

doi:10.3904/kjim.2016.023

Analysis of computed tomographic findings according to gastroesophageal flap valve grade 원문보기

The Korean journal of internal medicine : KJIM, v.33 no.2, 2018년, pp.295 - 303

Jeon, Hye Kyung (Department of Internal Medicine, Pusan National University School of Medicine, and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea) , Kim, Gwang Ha (Department of Internal Medicine, Pusan National University School of Medicine, and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea) , Lee, Nam Kyung (Department of Radiology, Pusan National University School of Medicine, and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea) , Kim, Suk (Department of Radiology, Pusan National University School of Medicine, and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea) , Lee, Bong Eun (Department of Internal Medicine, Pusan National University School of Medicine, and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea) , Song, Geun Am (Department of Internal Medicine, Pusan National University Sc)

Abstract ▼ AI-Helper

Background/AimsThe gastroesophageal junction is an important barrier against gastroesophageal ref lux. Endoscopic grading of gastroesophageal f lap valve is simple, reproducible, and may predict reflux activity. We investigated the correlation between gastroesophageal flap valve grade and the gastroesophageal junction’s structural properties using abdominal computed tomography.MethodsA total of 138 patients with early gastric cancer who underwent both pre-treatment esophagogastroduodenoscopy and water-distended stomach two-phase computed tomography were enrolled. Endoscopic gastroesophageal f lap valve grade and abdominal computed tomography findings were analyzed to assess anatomical factors including the gastroesophageal junction and related organs.ResultsThe angle of His increased significantly with gastroesophageal flap valve grade (grade I, 65.2˚ ± 19.6˚; grade II, 66.6˚ ± 19.8˚; grade III, 76.7˚ ± 11.9˚; grade IV, 120.0˚ ± 30.3˚; p < 0.001), as did the size of the diaphragmatic hiatus (grade I, 213.0 ± 53.8 mm2 ; grade II, 232.6 ± 71.0 mm2 ; grade III, 292.3 ± 99.2 mm2 ; grade IV, 584.4 ± 268.3; p < 0.001). The length of the abdominal esophagus decreased as gastroesophageal flap valve grade increased (grade I, 34.6 ± 5.8 mm; grade II, 32.0 ± 6.5 mm; grade III, 24.6 ± 7.8 mm; grade IV, –22.6 ± 38.2 mm; p < 0.001). There was no significant relationship between gastroesophageal flap valve grade and visceral and subcutaneous fat areas (p = 0.877 and p = 0.508, respectively).ConclusionsEndoscopic grading of the gastroesophageal flap valve is well correlated with anatomical changes around the gastroesophageal junction on abdominal computed tomography, and it can provide useful information about the anti-reflux barrier.

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참고문헌 (25)

1 Mittal RK Balaban DH The esophagogastric junction N Engl J Med 1997 336 924 932 9070474

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2 Hill LD Aye RW Ramel S Antireflux surgery: surgeon’s look Gastroenterol Clin North Am 1990 19 745 775 2228172
3 Thor KB Hill LD Mercer DD Kozarek RD Reappraisal of the flap valve mechanism in the gastroesophageal junction: a study of a new valvuloplasty procedure in cadavers Acta Chir Scand 1987 153 25 28 3577567

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4 Hill LD Kozarek RA Kraemer SJ The gastroesophageal flap valve: in vitro and in vivo observations Gastrointest Endosc 1996 44 541 547 8934159
5 Liebermann-Meffert D Allgower M Schmid P Blum AL Muscular equivalent of the lower esophageal sphincter Gastroenterology 1979 76 31 38 81791

상세보기
6 Adler RH Firme CN Lanigan JM A valve mechanism to prevent gastroesophageal reflux and esophagitis Surgery 1958 44 63 76 13556446

상세보기
7 Hill LD Kozarek RA The gastroesophageal flap valve J Clin Gastroenterol 1999 28 194 197 10192602

상세보기
8 Kim GH Kang DH Song GA Gastroesophageal flap valve is associated with gastroesophageal and gastropharyngeal reflux J Gastroenterol 2006 41 654 661 16933002
9 Kim GH Song GA Kim TO Endoscopic grading of gastroesophageal flap valve and atrophic gastritis is helpful to predict gastroesophageal reflux J Gastroenterol Hepatol 2008 23 208 214 18289353

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10 Oberg S Peters JH DeMeester TR Endoscopic grading of the gastroesophageal valve in patients with symptoms of gastroesophageal reflux disease (GERD) Surg Endosc 1999 13 1184 1188 10594262

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11 Curcic J Roy S Schwizer A Abnormal structure and function of the esophagogastric junction and proximal stomach in gastroesophageal reflux disease Am J Gastroenterol 2014 109 658 667 24589669

상세보기
12 Fukazawa K Furuta K Adachi K Continuous imaging of esophagogastric junction in patients with reflux esophagitis using 320-row area detector CT: a feasibility study J Gastroenterol Hepatol 2013 28 1600 1607 23663082

상세보기
13 Roy S Fox MR Curcic J Schwizer W Pal A The gastro-esophageal reflux barrier: biophysical analysis on 3D models of anatomy from magnetic resonance imaging Neurogastroenterol Motil 2012 24 616 625 22417158
14 Curcic J Fox M Kaufman E Gastroesophageal junction: structure and function as assessed by using MR imaging Radiology 2010 257 115 124 20713610

상세보기
15 Kayaoglu HA Correlation of the gastroesophageal flap valve grade with the surgery rate in patients with gastroesophageal reflux disease Surg Endosc 2013 27 801 807 23052497

상세보기
16 Lundell LR Dent J Bennett JR Endoscopic assessment of oesophagitis: clinical and functional correlates and further validation of the Los Angeles classification Gut 1999 45 172 180 10403727

상세보기
17 Kimura K Satoh K Ido K Taniguchi Y Takimoto T Takemoto T Gastritis in the Japanese stomach Scand J Gastroenterol Suppl 1996 214 17 20 8722400

상세보기
18 Nelsen EM Kirihara Y Takahashi N Distribution of body fat and its influence on esophageal inflammation and dysplasia in patients with Barrett’s esophagus Clin Gastroenterol Hepatol 2012 10 728 734 22433923
19 Koch OO Spaun G Antoniou SA Endoscopic grading of the gastroesophageal flap valve is correlated with reflux activity and can predict the size of the esophageal hiatus in patients with gastroesophageal reflux disease Surg Endosc 2013 27 4590 4595 23846367

상세보기
20 Emerenziani S Rescio MP Guarino MP Cicala M Gastro-esophageal reflux disease and obesity, where is the link? World J Gastroenterol 2013 19 6536 6539 24151378
21 Pandolfino JE El-Serag HB Zhang Q Shah N Ghosh SK Kahrilas PJ Obesity: a challenge to esophagogastric junction integrity Gastroenterology 2006 130 639 649 16530504
22 El-Serag HB Ergun GA Pandolfino J Fitzgerald S Tran T Kramer JR Obesity increases oesophageal acid exposure Gut 2007 56 749 755 17127706

상세보기
23 Wilson LJ Ma W Hirschowitz BI Association of obesity with hiatal hernia and esophagitis Am J Gastroenterol 1999 94 2840 2844 10520831

상세보기
24 Nam SY Choi IJ Ryu KH Park BJ Kim HB Nam BH Abdominal visceral adipose tissue volume is associated with increased risk of erosive esophagitis in men and women Gastroenterology 2010 139 1902 1911 20727886
25 Tilg H Moschen AR Visceral adipose tissue attacks beyond the liver: esophagogastric junction as a new target Gastroenterology 2010 139 1823 1826 20977875

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DOI : 10.3904/kjim.2016.023
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