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Abstract
RELATION BETWEEN LENGTH OF (OESOPHAGO-DIAPHRAGMATIC JUNCTION)- (OESOPHAGO-GASTRIC JUNCTION) DIFFERENCE AND BODY MASS INDEX IN SULAIMANI GOVERNORATE
*Dr. Khalid Mohammed Elias, Dr. Mouzer Taha Hamid and Dr. Kawa Mohammed Mawlood
ABSTRACT
Background: The length of (Oesophago-diaphramgatic junction)-(Oesophago-gastric junction) (ODJ-OGI)difference is the distance between Z line and esophageal hiatus which is normally equal or less than 2 cm.Objective: To find relation of ODJ-OGJ length's difference with body mass index, diseases of the foregut, age,gender, smoking status and alcoholic status. Patients and Methods: The study involved 520 patients whounderwent Oesophago-gastro-deudenoscopy (OGD) at the Endoscopic Department of Teaching Hospital inSulaimani. The examination involved measuring the Oesophago-gastric and Oesophago-diaphragmatic junctiondistances, height and weight, and BMI according to the World Health Organization formula. The endoscopistperformed the examination. Results: The study involved 520 patients, with a mean age of 37.75 years. Themajority were overweight and obese (76.35%), with 84.2% showing abnormal OGD findings. Most werenonsmokers and not alcoholic (91.7%). The highest mean difference length was observed in obese and overweightpatients, with the longest difference length observed in patients with abnormal OGD findings. Gender and BMIwere significant, with females having the highest percentage of obesity and overweight and males having thehighest percentage. Conclusion: The length of ODJ-OGJ differences increased with BMI, foregut diseases, andpatient age, but not with gender, smoking status, or alcoholic status. BMI is more affected by females.
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