Gastric filling ultrasound for diagnosing dysphagiaafter surgical operation of hiatal hernia
10.13929/j.issn.1003-3289.2024.10.017
- VernacularTitle:胃充盈超声诊断食管裂孔疝术后吞咽困难
- Author:
Huizhen YU
1
;
Shuang WU
;
Shihong LI
;
Xueyao TANG
;
Xishu CHEN
;
Hong ZHOU
;
Yang ZHOU
Author Information
1. 西南交通大学附属医院&重庆医科大学附属成都第二临床医学院成都市第三人民医院超声科,四川成都 610014
- Keywords:
hernia,hiatal;
deglutition disorders;
ultrasonography
- From:
Chinese Journal of Medical Imaging Technology
2024;40(10):1538-1541
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the value of gastric filling ultrasound(GFUS)for diagnosing dysphagia after surgical operation of hiatal hernia(HH).Methods Totally 71 HH patients who underwent laparoscopic HH repair and fundoplication surgery were retrospectively enrolled and divided into dysphagia group(n=23)and non dysphagia group(n=48)according to postoperative Saeed scores.GFUS parameters,including inner diameter of esophageal hiatus lumen(IDE),wall thickness of abdominal esophageal(WTE)and inner diameter of the esophageal lumen at the fold(FIDE)were compared between groups,and their value of diagnosing postoperative dysphagia were analyzed.Results In dysphagia group,IDE and FIDE were lower,while WTE was higher than those in non dysphagia group(all P＜0.05).Low IDE and high WTE were both independent risk factors of postoperative dysphagia in HH patients.The sensitivity,specificity and area under the curve(AUC)of IDE for diagnosing dysphagia after surgical operation of HH was 82.64％,66.69％and 0.773,of WTE was 82.59％,68.73％and 0.793,of their combination was 88.89％,77.59％and 0.843,respectively.The AUC of the combination of IDE and WTE was higher than that of IDE and WTE alone(Z=1.328,1.364,P=0.044,0.043).Conclusion Combination of GFUS parameters IDE and WTE was valuable for diagnosing dysphagia after surgical operation of HH.
