Research Development of The Relationship Between Hiatal Hernia and Respiratory Symptoms_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 HUAZhao-hui ¹ ,  LIZhen ² , WANGZhong-gao ²

1. Department of Surgery, The Forth Affiliated Hospital of Zhengzhou University, Zhengzhou 45000, Henan Province, China;
2. Department of Surgery, The Fisrst Affiliated Hospital of Zhengzhou University, Zhengzhou 45000, Henan Province, China;

Corresponding author：

LIZhen, Email: lizhen1029@hotmail.com

Keywords：

Hiatal hernia; Respiratory symptom; Gastroesophageal reflux disease; Endoscopy

DOI：

10.7507/1007-9424.20140127

Video：

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Objective To introduce the hiatal hernia (HH) and to summarize the research development of relationship between HH and respiratory symptoms. Methods Literatures in recent years which about relationship between HH and respiratory symptoms at home and abroad were collected and reviewed. Results Gastroesophageal reflux disease (GERD), which always be caused by laryngeal airway and other esophageal symptoms, was a common illness and easily be misdiagnosed. One common symptom of the GERD was the HH. For those patients with reflux-associated esophageal symptoms, many of them suffered from HH. The treatment results showed that the endoscopic surgery could relieve the reflux symptom and effectively control the respiratory symptoms. Conclusions The HH can increase the risk of respiratory symptoms; an active treatment on the HH can relieve the respiratory symptoms, which is caused by the reflux symptom.

Citation： HUAZhao-hui, LIZhen, WANGZhong-gao. Research Development of The Relationship Between Hiatal Hernia and Respiratory Symptoms. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(4): 519-523. doi: 10.7507/1007-9424.20140127 Copy

1.	汪忠镐, 刘建军, 陈秀, 等.胃食管喉气管综合征(GELTS)的发现与命名——Stretta射频治疗胃食管反流病200例[J].临床误诊误治, 2007, 20(5):1-4.
2.	Wang ZG. It is gastroesophageal reflux disease, not asthma:a case report[J]. Chin Med Sci, 2006, 21(3):189-193.
3.	Sullivan SD, Weiss KB. Health economics of asthma and rhinitis.Ⅱ. Assessing the value of interventions[J]. J Allergy Clin Immunol, 2001, 107(2):203-210.
4.	Harding SM, Richter JE. The role of gastroesophageal reflux in chronic cough and asthma[J]. Chest, 1997, 111(5):1389-1402.
5.	el-Serag HB, Sonnenberg A. Comorbid occurrence of laryngeal or pulmonary disease with esophagitis in United States military veterans[J]. Gastroenterology, 1997, 113(3):755-760.
6.	Ferrús JA, Zapardiel J, Sobreviela E, et al. Management of gastroesophageal reflux disease in primary care settings in Spain:SYMPATHYⅠstudy[J]. Eur J Gastroenterol Hepatol, 2009, 21(11):1269-1278.
7.	宁雅婵, 汪忠镐, 吴继敏, 等.胃食管反流病1014例住院患者的诊治分析[J].中华普外科手术学杂志:电子版, 2010, 4(3):264-270.
8.	Bisaccioni C, Aun MV, Cajuela E, et al. Comorbidities in severe asthma:frequency of rhinitis, nasal polyposis, gastroesophageal reflux disease, vocal cord dysfunction and bronchiectasis[J]. Clinics, 2009, 64(8):769-773.
9.	Kiljander TO, Salomaa ER, Hietanen EK, et al. Gastroesophageal reflux in asthmatics:a double-blind, placebo-controlled crossover study with omeprazole[J]. Chest, 1999, 116(5):1257-1264.
10.	Kiljander TO, Laitinen JO. The prevalence of gastroesophageal reflux disease in adult asthmatics[J]. Chest, 2004, 126(5):1490-1494.
11.	Carmona-Sánchez R, Valdovinos-Díaz MA, Facha MT, et al. Gastroesophageal reflux in asthmatic patients:an incidence study and clinical correlation[J]. Gac Med Mex, 1999, 135(5):471-475.
12.	Harding SM, Guzzo MR, Richter JE. 24-h esophageal pH testing in asthmatics:respiratory symptom correlation with esophageal acid events[J]. Chest, 1999, 115(3):654-659.
13.	陈宝元, 刘文天, 曹洁, 等.支气管哮喘患者胃食管返流发生率的调查[J].中华结核和呼吸杂志, 2000, 23(6):383.
14.	Di Lorenzo G, Mansueto P, Esposito-Pellitteri M, et al. The characteristics of different diagnostic tests in adult mild asthmatic patients:comparison with patients with asthma-like symptoms by gastro-oesophageal reflux[J]. Respir Med, 2007, 101(7):1455-1461.
15.	Ott DJ, Wu WC, Gelfand DW. Reflux esophagitis revisited:pros-pective analysis of radiologic accuracy[J]. Gastrointest Radiol, 1981, 6(1):1-7.
16.	Valenzuela GA, Dickinson D. Prevalence of hiatal hernia in symptomatic GERD by high resolution manometry and endoscopy[J]. Gastrointest Endosc, 2010, 71(5):AB268.
17.	Sontag SJ, Schnell TG, Miller TQ, et al. Prevalence of oesopha-gitis in asthmatics[J]. Gut, 1992, 33(7):872-876.
18.	Ruhl CE, Sonnenberg A, Everhart JE. Hospitalization with respiratory disease following hiatal hernia and reflux esophagitis in a prospective, population-based study[J]. Ann Epidemiol, 2001, 11(7):477-483.
19.	吴继敏, 汪忠镐, 季锋, 等.腹腔镜Nissen胃底折叠术治疗胃食管反流病[J].中国普通外科杂志, 2009, 18(10):1055-1058.
20.	Pasricha PJ. Effect of sleep on gastroesophageal physiology and airway protective mechanisms[J]. Am J Med, 2003, 115(Suppl 3A):114S-118S.
21.	Franck-Larsson K, Hedenström H, Dahl R, et al. Delayed gastric emptying in patients with diffuse versus limited systemic sclerosis, unrelated to gastrointestinal symptoms and myoelectric gastric activity[J]. Scand J Rheumatol, 2003, 32(6):348-355.
22.	Pacheco-Galván A, Hart SP, Morice AH. Relationship between gastro-oesophageal reflux and airway diseases:the airway reflux paradigm[J]. Arch Bronconeumol, 2011, 47(4):195-203.
23.	Jack CI, Walshaw MJ, Tran J, et al. Twenty-four-hour tracheal pH monitoring-a simple and non-hazardous investigation[J]. Respir Med, 1994, 88(6):441-444.
24.	Phua SY, Mcgarvey LP, Ngu MC, et al. Patients with gastro-oesophageal reflux disease and cough have impaired laryngophar-yngeal mechanosensitivity[J]. Thorax, 2005, 60(6):488-491.
25.	Allen GB, Leclair TR, von Reyn J, et al. Acid aspiration-indu-ced airways hyperresponsiveness in mice[J]. J Appl Physiol, 2009, 107(6):1763-1770.
26.	汪忠镐, 来运钢, 吴继敏, 等.胃食管喉气管反流动物实验初步验证[J].临床误诊误治, 2007, 20(12):1-2.
27.	汪忠镐.食管反流与呼吸道疾病[M].北京:人民卫生出版社, 2010:2-6.
28.	Jatakanon A, Lalloo UG, Lim S, et al. Increased neutrophils and cytokines, TNF-alpha and IL-8, in induced sputum of non-asthmatic patients with chronic dry cough[J]. Thorax, 1999, 54(3):234-237.
29.	Sacco O, Silvestri M, Sabatini F, et al. IL-8 and airway neutrophilia in children with gastroesophageal reflux and asthma-like symptoms[J]. Respir Med, 2006, 100(2):307-315.
30.	汪忠镐, 高翔, 来运刚, 等.咽喷嘴及3S现象:胃食管气道反流的实验研究[J].临床误诊误治, 2011, 24(3):5-7.
31.	Dean JB. Theory of gastric CO₂ ventilation and its control during respiratory acidosis:implications for central chemosensitivity, pH regulation, and diseases causing chronic CO₂ retention[J]. Respir Physiol Neurobiol, 2011, 175(2):189-209.
32.	Hsu JY, Chen SJ, Wang JK, et al. Clinical implication of hiatal hernia in patients with right isomerism[J]. Acta Paediatr, 2005, 94(9):1248-1252.
33.	Oishi Y, Ishimoto T, Nagase N, et al. Syncope upon swallowing caused by an esophageal hiatal hernia compressing the left atrium:a case report[J]. Echocardiography, 2004, 21(1):61-64.
34.	Landreneau RJ, Del Pino M, Santos R. Management of paraeso-phageal hernias[J]. Surg Clin North Am, 2005, 85(3):411-432.
35.	Macarthur KH. Hernias and volvulus of the gastrointestinal tract//Feldman M, Scharschmidt BF, Sleisenger MH, et al. Sleisenger & Fordtran's gastrointestinal and liver disease[M]. Philadelphia:WB Saunders, 1998:318-327.
36.	Fackler WK, Ours TM, Vaezi MF, et al. Long-term effect of H2RA therapy on nocturnal gastric acid breakthrough[J]. Gastroenter-ology, 2002, 122(3):625-632.
37.	Klaus A, Gadenstaetter M, Mühlmann G, et al. Selection of patients with gastroesophageal reflux disease for antireflux surgery based on esophageal manometry[J]. Dig Dis Sci, 2003, 48(9):1719-1722.
38.	Lund RJ, Wetcher GJ, Raiser F, et al. Laparoscopic toupet fundo-plication for gastroesophageal reflux disease with poor esophageal body motility[J]. J Gastrointest Surg, 1997, 1(4):301-308.
39.	Watson DI, Davies N, Devitt PG, et al. Importance of dissection of the hernial sac in laparoscopic surgery for large hiatal hernias[J]. Arch Surg, 1999, 134(10):1069-1073.
40.	Maziak DE, Todd TR, Pearson FG. Massive hiatus hernia:evalua-tion and surgical management[J]. J Thorac Cardiovasc Surg, 1998, 115(1):53-60.
41.	Low DE, Simchuk EJ. Effect of paraesophageal hernia repair on pulmonary function[J]. Ann Thorac Surg, 2002, 74(2):333-337.
42.	Carrott PW, Hong J, Kuppusamy M, et al. Repair of giant para-esophageal hernias routinely produces improvement in respiratory function[J]. J Thorac Cardiovasc Surg, 2012, 143(2):398-404.
43.	龙志强, 边铁军, 刘江, 等.经胸小切口MARK-Ⅳ手术治疗食管裂孔疝的临床研究[J]. 2010年北京胸外科年会.北京, 2010:133-135.

1. 汪忠镐, 刘建军, 陈秀, 等.胃食管喉气管综合征(GELTS)的发现与命名——Stretta射频治疗胃食管反流病200例[J].临床误诊误治, 2007, 20(5):1-4.
2. Wang ZG. It is gastroesophageal reflux disease, not asthma:a case report[J]. Chin Med Sci, 2006, 21(3):189-193.
3. Sullivan SD, Weiss KB. Health economics of asthma and rhinitis.Ⅱ. Assessing the value of interventions[J]. J Allergy Clin Immunol, 2001, 107(2):203-210.
4. Harding SM, Richter JE. The role of gastroesophageal reflux in chronic cough and asthma[J]. Chest, 1997, 111(5):1389-1402.
5. el-Serag HB, Sonnenberg A. Comorbid occurrence of laryngeal or pulmonary disease with esophagitis in United States military veterans[J]. Gastroenterology, 1997, 113(3):755-760.
6. Ferrús JA, Zapardiel J, Sobreviela E, et al. Management of gastroesophageal reflux disease in primary care settings in Spain:SYMPATHYⅠstudy[J]. Eur J Gastroenterol Hepatol, 2009, 21(11):1269-1278.
7. 宁雅婵, 汪忠镐, 吴继敏, 等.胃食管反流病1014例住院患者的诊治分析[J].中华普外科手术学杂志:电子版, 2010, 4(3):264-270.
8. Bisaccioni C, Aun MV, Cajuela E, et al. Comorbidities in severe asthma:frequency of rhinitis, nasal polyposis, gastroesophageal reflux disease, vocal cord dysfunction and bronchiectasis[J]. Clinics, 2009, 64(8):769-773.
9. Kiljander TO, Salomaa ER, Hietanen EK, et al. Gastroesophageal reflux in asthmatics:a double-blind, placebo-controlled crossover study with omeprazole[J]. Chest, 1999, 116(5):1257-1264.
10. Kiljander TO, Laitinen JO. The prevalence of gastroesophageal reflux disease in adult asthmatics[J]. Chest, 2004, 126(5):1490-1494.
11. Carmona-Sánchez R, Valdovinos-Díaz MA, Facha MT, et al. Gastroesophageal reflux in asthmatic patients:an incidence study and clinical correlation[J]. Gac Med Mex, 1999, 135(5):471-475.
12. Harding SM, Guzzo MR, Richter JE. 24-h esophageal pH testing in asthmatics:respiratory symptom correlation with esophageal acid events[J]. Chest, 1999, 115(3):654-659.
13. 陈宝元, 刘文天, 曹洁, 等.支气管哮喘患者胃食管返流发生率的调查[J].中华结核和呼吸杂志, 2000, 23(6):383.
14. Di Lorenzo G, Mansueto P, Esposito-Pellitteri M, et al. The characteristics of different diagnostic tests in adult mild asthmatic patients:comparison with patients with asthma-like symptoms by gastro-oesophageal reflux[J]. Respir Med, 2007, 101(7):1455-1461.
15. Ott DJ, Wu WC, Gelfand DW. Reflux esophagitis revisited:pros-pective analysis of radiologic accuracy[J]. Gastrointest Radiol, 1981, 6(1):1-7.
16. Valenzuela GA, Dickinson D. Prevalence of hiatal hernia in symptomatic GERD by high resolution manometry and endoscopy[J]. Gastrointest Endosc, 2010, 71(5):AB268.
17. Sontag SJ, Schnell TG, Miller TQ, et al. Prevalence of oesopha-gitis in asthmatics[J]. Gut, 1992, 33(7):872-876.
18. Ruhl CE, Sonnenberg A, Everhart JE. Hospitalization with respiratory disease following hiatal hernia and reflux esophagitis in a prospective, population-based study[J]. Ann Epidemiol, 2001, 11(7):477-483.
19. 吴继敏, 汪忠镐, 季锋, 等.腹腔镜Nissen胃底折叠术治疗胃食管反流病[J].中国普通外科杂志, 2009, 18(10):1055-1058.
20. Pasricha PJ. Effect of sleep on gastroesophageal physiology and airway protective mechanisms[J]. Am J Med, 2003, 115(Suppl 3A):114S-118S.
21. Franck-Larsson K, Hedenström H, Dahl R, et al. Delayed gastric emptying in patients with diffuse versus limited systemic sclerosis, unrelated to gastrointestinal symptoms and myoelectric gastric activity[J]. Scand J Rheumatol, 2003, 32(6):348-355.
22. Pacheco-Galván A, Hart SP, Morice AH. Relationship between gastro-oesophageal reflux and airway diseases:the airway reflux paradigm[J]. Arch Bronconeumol, 2011, 47(4):195-203.
23. Jack CI, Walshaw MJ, Tran J, et al. Twenty-four-hour tracheal pH monitoring-a simple and non-hazardous investigation[J]. Respir Med, 1994, 88(6):441-444.
24. Phua SY, Mcgarvey LP, Ngu MC, et al. Patients with gastro-oesophageal reflux disease and cough have impaired laryngophar-yngeal mechanosensitivity[J]. Thorax, 2005, 60(6):488-491.
25. Allen GB, Leclair TR, von Reyn J, et al. Acid aspiration-indu-ced airways hyperresponsiveness in mice[J]. J Appl Physiol, 2009, 107(6):1763-1770.
26. 汪忠镐, 来运钢, 吴继敏, 等.胃食管喉气管反流动物实验初步验证[J].临床误诊误治, 2007, 20(12):1-2.
27. 汪忠镐.食管反流与呼吸道疾病[M].北京:人民卫生出版社, 2010:2-6.
28. Jatakanon A, Lalloo UG, Lim S, et al. Increased neutrophils and cytokines, TNF-alpha and IL-8, in induced sputum of non-asthmatic patients with chronic dry cough[J]. Thorax, 1999, 54(3):234-237.
29. Sacco O, Silvestri M, Sabatini F, et al. IL-8 and airway neutrophilia in children with gastroesophageal reflux and asthma-like symptoms[J]. Respir Med, 2006, 100(2):307-315.
30. 汪忠镐, 高翔, 来运刚, 等.咽喷嘴及3S现象:胃食管气道反流的实验研究[J].临床误诊误治, 2011, 24(3):5-7.
31. Dean JB. Theory of gastric CO₂ ventilation and its control during respiratory acidosis:implications for central chemosensitivity, pH regulation, and diseases causing chronic CO₂ retention[J]. Respir Physiol Neurobiol, 2011, 175(2):189-209.
32. Hsu JY, Chen SJ, Wang JK, et al. Clinical implication of hiatal hernia in patients with right isomerism[J]. Acta Paediatr, 2005, 94(9):1248-1252.
33. Oishi Y, Ishimoto T, Nagase N, et al. Syncope upon swallowing caused by an esophageal hiatal hernia compressing the left atrium:a case report[J]. Echocardiography, 2004, 21(1):61-64.
34. Landreneau RJ, Del Pino M, Santos R. Management of paraeso-phageal hernias[J]. Surg Clin North Am, 2005, 85(3):411-432.
35. Macarthur KH. Hernias and volvulus of the gastrointestinal tract//Feldman M, Scharschmidt BF, Sleisenger MH, et al. Sleisenger & Fordtran's gastrointestinal and liver disease[M]. Philadelphia:WB Saunders, 1998:318-327.
36. Fackler WK, Ours TM, Vaezi MF, et al. Long-term effect of H2RA therapy on nocturnal gastric acid breakthrough[J]. Gastroenter-ology, 2002, 122(3):625-632.
37. Klaus A, Gadenstaetter M, Mühlmann G, et al. Selection of patients with gastroesophageal reflux disease for antireflux surgery based on esophageal manometry[J]. Dig Dis Sci, 2003, 48(9):1719-1722.
38. Lund RJ, Wetcher GJ, Raiser F, et al. Laparoscopic toupet fundo-plication for gastroesophageal reflux disease with poor esophageal body motility[J]. J Gastrointest Surg, 1997, 1(4):301-308.
39. Watson DI, Davies N, Devitt PG, et al. Importance of dissection of the hernial sac in laparoscopic surgery for large hiatal hernias[J]. Arch Surg, 1999, 134(10):1069-1073.
40. Maziak DE, Todd TR, Pearson FG. Massive hiatus hernia:evalua-tion and surgical management[J]. J Thorac Cardiovasc Surg, 1998, 115(1):53-60.
41. Low DE, Simchuk EJ. Effect of paraesophageal hernia repair on pulmonary function[J]. Ann Thorac Surg, 2002, 74(2):333-337.
42. Carrott PW, Hong J, Kuppusamy M, et al. Repair of giant para-esophageal hernias routinely produces improvement in respiratory function[J]. J Thorac Cardiovasc Surg, 2012, 143(2):398-404.
43. 龙志强, 边铁军, 刘江, 等.经胸小切口MARK-Ⅳ手术治疗食管裂孔疝的临床研究[J]. 2010年北京胸外科年会.北京, 2010:133-135.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Research Development of The Relationship Between Hiatal Hernia and Respiratory Symptoms

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