日本語
 
Help Privacy Policy ポリシー/免責事項
  詳細検索ブラウズ

アイテム詳細

登録内容を編集ファイル形式で保存
 
 
ダウンロード電子メール
  Real-time MRI for the dynamic assessment of fundoplication failure in patients with gastroesophageal reflux disease.

Seif, A., Hosseini, A., Uhlig, J., Streit, U., Voit, D., Uhlig, A., Ellenrieder, V., Ghadimi, M., Sprenger, T., Beham, A., Uecker, M., Frahm, J., Lotz, J., & Biggemann, L. (2019). Real-time MRI for the dynamic assessment of fundoplication failure in patients with gastroesophageal reflux disease. European Radiology, 29(9), 4691-4698. doi:10.1007/s00330-019-06025-x.

Item is

基本情報

表示: 非表示:
アイテムのパーマリンク: https://hdl.handle.net/21.11116/0000-0003-1537-8 版のパーマリンク: https://hdl.handle.net/21.11116/0000-0004-6DA1-C
資料種別: 学術論文

ファイル

表示: ファイル
非表示: ファイル
:
3030382.pdf (出版社版), 5MB
 
ファイルのパーマリンク:
-
ファイル名:
3030382.pdf
説明:
-
OA-Status:
閲覧制限:
制限付き ( Max Planck Society (every institute); )
MIMEタイプ / チェックサム:
application/pdf
技術的なメタデータ:
著作権日付:
-
著作権情報:
-
CCライセンス:
-

関連URL

表示:

作成者

表示:
非表示:
 作成者:
Seif, A., 著者
Hosseini, A., 著者
Uhlig, J., 著者
Streit, U., 著者
Voit, D.1, 著者           
Uhlig, A., 著者
Ellenrieder, V., 著者
Ghadimi, M., 著者
Sprenger, T., 著者
Beham, A., 著者
Uecker, M., 著者
Frahm, J.1, 著者           
Lotz, J., 著者
Biggemann, L., 著者
所属:
1Biomedical NMR Research GmbH, MPI for biophysical chemistry, Max Planck Society, ou_578634              

内容説明

表示:
非表示:
キーワード: Fundoplication; Gastroesophageal reflux disease (GERD); Magnetic resonance imaging
 要旨: To assess the diagnostic potential of dynamic real-time MRI for fundoplication failure in patients with persistent or recurrent GERD-like (gastroesophageal reflux disease) complaints.
MATERIAL AND METHODS:

Twenty-two consecutive patients (male n = 11; female n = 11; median age 59 years) with recurrent or persistent GERD-like symptom after fundoplication were enrolled between 2015 and 2017. Median duration of GERD-like symptoms was 21 months. Real-time MRI (3 Tesla) was performed at 40 ms temporal resolution using undersampled radial fast low-angle shot acquisitions with nonlinear inverse image reconstruction. MRI movies dynamically visualized bolus transit of pineapple juice through the gastroesophageal junction, position of the fundoplication wrap and recurring hernia or reflux during Valsalva maneuver. MRI results were compared to endoscopic findings.
RESULTS:

Real-time MRI was successfully completed in all patients without adverse events (average examination time 15 min). Morphological correlates for GERD-like symptoms were evident in 20 patients (90.1%) with gastric reflux in 19 cases. Nine patients (40.1%) had wrap disruption and recurrent gastric hernia. Wrap migration or telescoping hernia was detected in nine patients (40.1%). One patient presented with continued reflux despite intact fundoplication wrap. Esophageal dysmotility with delayed bolus passage was observed in one case. On endoscopy, gastric hernia or wrap disruption was diagnosed in seven cases, and esophagitis or Barret's metaplasia in nine cases.
CONCLUSION:

Real-time MRI is a fast and safe modality for dynamic imaging after fundoplication, without radiation exposure or administration of gadolinium-based contrast media. In a relevant number of cases, real-time MRI reveals correlates for GERD-like symptoms.
KEY POINTS:

• Real-time MRI reliably visualizes the gastroesophageal junction after fundoplication surgery. • Patients with recurring GERD-like symptoms have a high rate of morphological failure patterns that can be identified by real-time MRI. • Dynamic assessment of gastroesophageal junction by real-time MRI is a perspective diagnostic tool for detection of fundoplication failure.

資料詳細

表示:
非表示:
言語: eng - English
 日付: 2019-02-252019-09
 出版の状態: 出版
 ページ: -
 出版情報: -
 目次: -
 査読: 査読あり
 識別子(DOI, ISBNなど): DOI: 10.1007/s00330-019-06025-x
 学位: -

関連イベント

表示:

訴訟

表示:

Project information

表示:

出版物 1

表示:
非表示:
出版物名: European Radiology
種別: 学術雑誌
 著者・編者:
所属:
出版社, 出版地: -
ページ: - 巻号: 29 (9) 通巻号: - 開始・終了ページ: 4691 - 4698 識別子(ISBN, ISSN, DOIなど): -