Özet:

Objective: Radiological imaging has a limited role in the initial diagnosis of gastroesophageal reflux disease (GERD) without complications. This study aimed to investigate the correlation with the presence of hiatal hernia (HH), the number of hiatal area pixels, the angle of His on computerized tomography (CT) imaging, esophagogastroduodenoscopy (EGD) findings, and DeMeester scores in patients with GERD-like symptoms. Methods: This retrospective study included 46 consecutive patients with typical GERD-related symptoms. All patients underwent EGD examinations. Patients were divided into two groups as HH and hiatal insufficiency based on the EGD results. The DeMeester score of >14.72 was considered abnormal acid reflux, whereas <14.72 was normal. Anatomical details of esophageal hiatus on CT were separately recorded. Results: A statistically significant correlation was found between EGD and CT imaging findings using the Pearson correlation test (p<0.05). No statistically significant difference was found between the number of hiatal area pixels and DeMeester scores using the Mann-Whitney U test (p=0.49). No statistically significant difference was found between the angle of His and DeMeester scores using the Mann-Whitney U test (p=0.45). Conclusion: Anatomical details of esophageal hiatus are correlated with endoscopy findings in CT imaging.

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