The relationship of anatomical localizations of hiatal clamp and oesophagogastric junction with body mass index

Abstract

In our study, we aimed to reveal the relationship between the anatomical localizations measured and the Body Mass Index (BMI) in patients scheduled for upper gastrointestinal endoscopy. In this study, anatomical localizations of the hiatal clamp and oesophagogastric junction in 189 female and 137 male patients who applied to the hospital with different gastrointestinal system complaints and underwent esophagogastroduodenoscopy (EGD) were investigated depending on BMI. In addition, the data were compared with the patients' complaints before EGD and the diagnoses they received after EGD. SPSS Statistics 22 (IBM Corp. Turkey) program was used for statistical analysis and p<0.05 value was considered significant. There was no statistically significant correlation between the patients' BMIs and the anatomical localizations of the hiatal clamp and oesophagogastric junction (p>0.05). On the other hand, it was determined that the hiatal clamp distance and the distance of the oesophagogastric junction increased as the height and weight increased (p<0.001). In male patients, these anatomical structures were found at a statistically greater distance than female patients (p<0.001). As a result of the Receiver operating characteristic (ROS) analysis, both hiatal clamp and EGD localization were found to have a statistically significant relationship with the diagnosis of ulcer, and the cut-off value for both localizations was determined as >38. As a result of the study, it can be said that BMI values, hiatal clamp distance and oesophagogastric junction localizations may change in relation to height and weight.