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Hiatal hernia in achalasia
1Department of Gastroenterology and Diagnostic Radiology, Shaikh Zayed Hospital, Lahore.
JPMA. the Journal of the Pakistan Medical Association
|March 6, 1999
Summary
Achalasia, a rare esophageal motility disorder, infrequently co-occurs with hiatal hernia. This study found only 4.4% of achalasia patients had a hiatal hernia, confirming its rarity.
Area of Science:
- Gastroenterology
- Esophageal Motility Disorders
Background:
- Achalasia is an esophageal motility disorder characterized by impaired peristalsis and LES relaxation.
- Hiatal hernias are common, but their association with achalasia is considered infrequent.
Purpose of the Study:
- To investigate the occurrence of hiatal hernia in patients diagnosed with achalasia.
- To assess the association between achalasia and hiatal hernia.
Main Methods:
- Retrospective review of barium esophagograms.
- Analysis of 110 patients with manometrically confirmed achalasia.
- Identification of concurrent hiatal hernia in the reviewed patient cohort.
Main Results:
- Barium esophagograms from 89 patients with achalasia were analyzed.
- A hiatal hernia was identified in only 4 patients (4.4%).
- This finding indicates a rare occurrence of hiatal hernia in achalasia patients.
Conclusions:
- The co-occurrence of achalasia and hiatal hernia is rare.
- While often considered unlikely, this association does exist and warrants recognition.