Glossary entry

Spanish term or phrase:

el hiato abraza el endoscopio

English translation:

the hiatus/opening adhered to/grasped the endoscope

Added to glossary by liz askew
Apr 14, 2019 16:25
5 yrs ago
12 viewers *
Spanish term

el hiato abraza el endoscopio

Spanish to English Medical Medical (general) Gastroenterology - endoscopy
This is from an endoscopy report for a patient who suffered a food impaction.

ESTOMAGO: ... el piloro es central y permeable al paso del endoscopio, a la maniobra de retroversion *el hiato abraza el endoscopio* ...

What does this mean/how do we say it in English? My guess is that it means that the hiatus is tight, it's not excessively wide. Please confirm or correct this guess, and help me with the appropriate medical terminology.

Thanks for your help.
Change log

Apr 28, 2019 11:45: liz askew Created KOG entry

Discussion

Chema Nieto Castañón Apr 19, 2019:
@Joseph Comenté allí. Espero te sirva. ¡Saludos!
Joseph Tein (asker) Apr 18, 2019:
@Chema Sehr gut, vielen Dank!

Y qué me dices sobre esto, por favor: https://www.proz.com/kudoz/spanish-to-english/medical-genera...
Chema Nieto Castañón Apr 18, 2019:
Sie scheint wirklich verstanden zu haben ;)
Normal LES tone [normal or adequate LES closure] on retrograde view is basically what I would expect to read in English. Unluckily, I have not been able to find any specific example in English describing that (apparent) normal tone of the esophagogastric junction (as per how it looks closing around the endoscope's tube).
Hope it helps anyhow!
Joseph Tein (asker) Apr 18, 2019:
Thanks, Anne and Chema, for your helpful comments and information.

Chema, warum schreibst du nicht auf Deutsch? Anne könnte das vielleicht besser verstehen :)
Chema Nieto Castañón Apr 15, 2019:
@Anne Sí, se trata de expresión común que hace referencia al aspecto normal del hiato desde un punto de vista funcional. Cuando no se ve de esta manera ("abrazando el endoscopio") indica un problema. Algo así como "normal LES tone" o "normal closure of LES", aun sacrificando la idea gráfica original, trasladan en el fondo el mismo sentido básico.

Por cierto, maniobra de retroversión se refiere específicamente a "mirar hacia atrás" con el endoscopio. En inglés, retroflexed endoscope, retrograde observation, U-turn maneuver/method.
Anne Schulz Apr 15, 2019:
@Chema Is "abrazo el endoscopio" a phrase to be commonly found in Spanish upper endoscopy reports? If so, the English translation should probably be a phrase commonly found in English reports (more abstract, e.g., "normal closure of LES")?
Chema Nieto Castañón Apr 14, 2019:
The idea, as you point out, is precisely that when you move the endoscope out the hiatus is seen tightly closing around it. Not sure though how best to express that in English. Tightly closing around seems to convey the same original idea... just in case it helps.

Proposed translations

+3
54 mins
Selected

the hiatus/opening grasped the endoscope




iqaquiron.com/portal/hernia-de-hiato-o-enfermedad-por-reflujo/

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El 90% de las HH son por deslizamiento, y en ellas la unión del esófago con el ... estados de hiperacidez asociados a relajación del esfínter esofágico inferior ... de mucosas de esófago y estómago y permite ver si el EEI abrazo con firmeza el ...

https://www.um.es/.../e05725ad-53fe-46a7-a489-1b07b3a5225b

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de hiato, cuerpos extraños, perforación, ... La endoscopia supone uno de los mejores métodos para la exploración del sistema digestivo a ... lizar el cardias por su cara interna, y comprobar que cierra bien, ***abrazando al tubo del endoscopio***. .... Al sacar el tubo conviene realizar la maniobra de retroversión para visualizar la ...

HERNIA HIATO.docx - Scribd


https://www.scribd.com/document/.../HERNIA-HIATO-docx

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Hernia de Hiato y Reflujo Gástrico: cura efectiva con Medicina . ...... cigarrillos. se produjo con maniobras facilitadoras de rodamiento y de sifonaje hidrico. ...... **el hiato ampli no abraza bien el endoscopio***. ni picantes. pero sigo fumando. ...... Inicia sesión para responder . lago mucoso limpio y a la retroversión cardias ..

iqaquiron.com/portal/hernia-de-hiato-o-enfermedad-por-reflujo/

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La hernia de hiato (HH) es una entidad anatómica muy frecuente, que afecta al ... y permite ver si el ***EEI abrazo con firmeza el endoscopio*** al pasar a su través.


https://www.radiologyinfo.org/en/glossary/glossary1.cfm?gid=...

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diaphragmatic hiatus; An abnormal opening in the diaphragm.


www.gastrotraining.com/category/endoscopy/.../upper-gastroi...

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Largest online gastroenterology, hepatology and endoscopy education and training ... If there is hiatalhernia- the diaphragmatic defect will not grasp the scope ...

https://www.ncbi.nlm.nih.gov/pubmed/8934159


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Note added at 58 mins (2019-04-14 17:23:31 GMT)
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actually I have just thought.

This is in the sense of clinging to...


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Note added at 1 hr (2019-04-14 17:28:04 GMT)
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OR

gripped


Does retroflexed endoscopic examination of the cardia allow ...
https://www.hon.ch/OESO/books/Vol_3_Eso_Mucosa/Articles/ART0...
As time has gone on it seems unlikely that the lower esophageal sphincter is the only ... The ridge of tissue seems to grip the endoscope, and there is no space ...
Impacts of Endoscopic Gastroesophageal Flap Valve Grading on ...
https://journals.plos.org/plosone/article?id=10.1371/journal...
by KC Chang - ‎2014 - ‎Cited by 7 - ‎Related articles
18 Sep 2014 - Background Gastroesophageal flap valve (GEFV) endoscopic grading is ... fibers, lower esophageal sphincter (LES), and the intra-abdominal portion of the .... and often failed to close around the endoscope, gripping it tightly.
Peer comment(s):

agree Muriel Vasconcellos : The tissue surrounding the opening 'gripped' or perhaps 'enveloped' -- just wondering if there's enough strength in the tissue to firmly grip the endoscope. Hernias happen with the tissue is weak.
3 hrs
Thank you!
agree neilmac : Was thinking "adhered to"...
13 hrs
agree Anne Schulz : with neilmac, "adhere" was the term used in the Hill classification (see ref.)
4 days
Something went wrong...
4 KudoZ points awarded for this answer. Comment: "Selected automatically based on peer agreement."
+1
19 hrs

normal LES/EGJ on retroflexed view

Based on Chema's assessment, I would suggest a more general, less "picturesque" statement.

From the sample reports I found on the web, this would be an exceedingly comprehensive statement already; usually all normal areas/findings seem to be totally omitted to keep matters short...

Peer comment(s):

agree Chema Nieto Castañón : // I'm afraid not. I did study German for a couple of long forgotten years which helps me reading it (with difficulty) and having a general sense of familiarity... but just that. Sorry! ;)
3 days 11 hrs
¡Ah! ¿Tu hablas aleman? My active Spanish is very poor, unfortunately, as I was never immersed in a Spanish-speaking environment. // We are at par then, it seems ;-))
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Reference comments

13 hrs
Reference:

Hill classification

A Hill classification of hiatal patency/incompetence exists which seems to be the basis for the Spanish characterization "abraza el endoscopio":

"In brief, we graded the valve as viewed through the retroflexed endoscope as follows:
Grade I. A musculomucosal fold that adheres closely to the scope through all phases of respiration and is 3 to 4 mm in length.
Grade II: Slightly less well defined and shorter, opens occasionally but closes promptly and is competent.
Grade III. Opens frequently, is poorly defined, and is frequently accompanied by a hiatal hernia.
Grade IV. Stays open, no well defined fold is appreciated, and is always accompanied by a hiatal hernia."
https://core.ac.uk/download/pdf/81197142.pdf


Beside the ones liz quoted, a few other authors have used the same imagery/terminology, e.g.:

"Endoscopic valve criteria included the lip (thin vs broad), body (length in centimeters), anterior (absent, shallow, or deep), and posterior (absent, shallow, or deep) grooves, lesser curve appearance (narrow or wide), adherence to the scope on retroflexion (loose, moderate, or tight), effect of respiration (laxity at any time during respiration), valve "type" (flat or nipple), intraabdominal location being present as the normal finding,repair position 3 cm proximal to the gastroesophageal junction, and the unique appearance characteristics specific to each surgical repair."
https://www.78stepshealth.us/reflux-surgery/endoscopic-asses...

Most or all of these occurrences are from the scientific literature on surgical repair of gastroesophageal hernias, however, I am not sure if the "Hill classification" would be referred to in a 'normal' upper endoscopy report.
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