Показать сокращенную информацию

dc.contributor.authorPanko, Siarhei
dc.contributor.authorZhurbenka, Henadzi
dc.contributor.authorKarpitski, Aliaksandr
dc.contributor.authorBoufalik, Rostislav
dc.contributor.authorVakulich, Dzianis
dc.contributor.authorShestiuk, Andrei
dc.contributor.authorIhnatsiuk, Aliaksandr
dc.date.accessioned2020-09-17T12:40:10Z
dc.date.available2020-09-17T12:40:10Z
dc.date.issued2019-09-30
dc.identifier.citationPanko, S. New method of preoperative selection of patients with gastro-oesophageal reflux disease / S. Panko [et al.] // Medical Studies/Studia Medyczne. — 2019. – Vol. 35, iss. 3. – P. 190–197..ru_RU
dc.identifier.issn1899-1874
dc.identifier.issn2300-6722
dc.identifier.urihttp://rep.brsu.by:80/handle/123456789/247
dc.description.abstractIntroduction: The identification of sliding hiatal hernia (SHH) less than 3 cm in size using barium swallow fluoroscopy (BSF) and oesophagogastroduodenoscopy (OGD) was recently noted as a non-reliable method, allowing for approximately 2 cm of inherent error in its size estimate. Aim of the research: We aimed to develop a reliable method, which could be used for preoperative visualisation and accurate anatomic depiction of any hiatal hernia and anatomical abnormalities in patients with incomplete gastro-oesophageal reflux disease (GORD) symptom remission after appropriate medical therapy. Material and methods: Within the period 2015–2017, 29 GORD patients (15 women, mean age 51 years) with incomplete symptom resolution on acid inhibition and equivocal findings as for SHH after endoscopy and/or BSF, were evaluated before laparoscopic anti-reflux surgery (LARS) using a computed tomography scan with a Sengstaken-Blakemore tube (CTSBT) provocation probe to confirm hernia existence. We calculated the sensitivity of each of these diagnostic tests. Results: SHH was diagnosed in 21 patients by OGD and/or BSF, but during the surgery this diagnosis was confirmed in 18 patients. The sensitivity was found to be significantly higher in CTSBT modality, comparing with each of the other diagnostic tests and even higher than in OGD and BSF together. Conclusions: CTSBT has been verified as the most efficient method to confirm or rule out SHH diagnosis or other anatomical abnormalities, which could be used to provide a surgeon with detailed information while making a decision about the advisability of LARS.ru_RU
dc.language.isoenru_RU
dc.publisherTermedia Publishingru_RU
dc.subjecthiatal herniaru_RU
dc.subjectgastro-oesophageal reflux diseaseru_RU
dc.subjectcomputed tomographyru_RU
dc.subjectSengstaken-Blakemore tuberu_RU
dc.titleNew method of preoperative selection of patients with gastro-oesophageal reflux diseaseru_RU
dc.title.alternativeNowa metoda przedoperacyjnej selekcji pacjentów z chorobą refluksową przełykuru_RU
dc.typeArticleru_RU


Файлы в этом документе

Thumbnail

Данный элемент включен в следующие коллекции

Показать сокращенную информацию