Small hiatal hernias: clinical manifestations, sleep disorders and quality of life

Abstract

Purpose of the study : to identify the features of clinical manifestation, sleep disorders and quality of life in patients with small hiatal hernias in gastroesophageal (GER) and duodenogastroesophageal refl ux (DGER). Materials and methods . 120 patients with small (1–2 degrees) hiatal hernias and grade I–III refl ux esophagitis on the basis of predominantly GER (35 people) and DGER (85 people) refl ux were examined. Sleep disorders were assessed using the Yu. A. Aleksandrovsky scale, violations of the quality of life — the KSC RAMS questionnaire. Results. Small hiatal hernias in all cases occur with a pronounced refl ux syndrome in the form of combination of esophageal and extraesophageal manifestations, developing both on the basis of GER and DGER. Esophageal manifestations of refl ux syndrome predominate in the presence of DHER and are combined with biliary dyspepsia. Extraesophageal manifestations do not depend on the type of refl ux. Dyssomnia was noted in every second patient with hiatal hernia, primarily presomnic and intrasomnic disorders, which were most pronounced in patients with GER. In the majority of patients with small hiatal hernias, the main reasons for the decrease in the quality of life, regardless of the type of refl ux into the esophagus, were the need for treatment, adherence to a diet, instrumental studies, and restriction of physical activity.