CH - 06 Healthcare - associated pneumonia in the elderly : difficulties in radiologic assessment

PURPOSE: To determine the association of endoscopic degree with GERD and to identify type of findings with roentgenography of hiatal hernia. МATERIALS AND METHODS: We evaluated the 30 patients, who are diagnosed with hiatal hernia at Department of Radiology of Third Central Hospital, Ulaanbaatar, Mongolia between years of 2015 to 2016. RESULTS: Our study included 17 female (57.7% ± 9.1) and 13 (43.3% ± 9.1) male overall 30 patients with hiatal hernia between age of 39-82. Paraesophageal hernia was no detected among patients under 54 years old whereas 1 (25%) out of 4 (13.3%) patients with paraesophageal hernia were 55-64 years old. Seven (26.9%) of 26 (86.7%) patients with axial type hiatal hernia were between age of 45-54. In 7 (23.3%) patients with GERD М who are diagnosed by endoscopic examination had 14.4% mild, 28.6% moderate and 57.1% severe types of hiatal hernia. The 66.7% of 3 (10.0%) GERD A degree patients had mild, 33.3% patients had moderate hiatal hernia. The 62.5% of 8 (26.7%) GERD B degree patients had mild, 37.6% patients had severe hiatal hernia. The 25.0% of 8 (26.7%) patients who are diagnosed GERD C degree had mild, 62.5% patients had moderate hiatal hernia and 12.5% had severe type of hiatal hernia. The 25.0% of 4 (13.3%) patients who are diagnosed GERD D degree had moderate, 75.0% patients had severe hiatal hernia and there was no mild type of hiatal hernia detected (p < 0.045). CONCLUSION: 1. Under 54 years old there was no paraesophageal hernia detected and 26.9% of patients with axial hiatal hernia were 45-54 years old. 2. Among patients with GERD A who are diagnosed with flexible endoscopy, 66.7% has mild degree of hiatal hernia, 75% of GERD D patients had severe hiatal hernia reveals that GERD degree is direct association with degree of hiatal hernia. SE 04 CH-02 A missed late presentation of congenital pulmonary airway malformation as pneumothorax Chung Yuen Lee, Syazarina Sharis Osman, Abd Isa Nur Safira Hospital Kuala Lumpur, Pusat Perubatan Universiti Kebangsaan Malaysia, Hospital Tengku Ampuan Rahimah, Malaysia. [email protected]