Fizz-computed tomography as a novel modality of objective esophageal hiatal assessment.

• Tác giả: Daniel Leonard Chan, Manish Chug, Annemarie Hennessy, Jim Iliopoulos, Michael Leonard Talbot, Grace Huan Yin
• Ngôn ngữ: eng
• Ký hiệu phân loại: 616.075722 Diseases
• Thông tin xuất bản: Germany : Langenbeck's archives of surgery , 2025
• Bộ sưu tập: NCBI
• ID: 680968
• Chủ đề: 1. Strong Narrative Assessment Procedure; 2. Stock Assessment, Brood; 3. Weed Risk Assessment

Tóm tắt

BACKGROUND: Traditional investigations of esophageal hiatal assessment for reflux disease and hiatal hernia (HH), such as endoscopy and barium swallow are subjective. High resolution manometry (HRM) limits hiatal hernia assessment to vertical length. We report a novel use of 3D volumetric Computed Tomography with effervescent oral contrast (Fizz-CT) as a means of preoperative HH diagnosis. METHODS: A pilot series of 12 consecutive patients who underwent preoperative Fizz-CT assessment, as well as a combination of traditional investigations for HH (five primary, seven revisional HH). RESULTS: The median age was 70years (IQR 57.5-76.8years) and median BMI 28.62 kg/m CONCLUSION: Fizz-CT imaging is a novel and accurate means of objective esophageal hiatal assessment in both primary and revisional HH patients. Vertical and radial measures of hiatal defects as well as hernia volumetry can be obtained. In post-surgical patients the relationship between the esophago-gastric junction and an infra- or supra-diaphragmatic fundoplication can also be assessed.