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- Title
Assessment of hiatus defect size in hiatal hernia patients using computed tomography.
- Authors
Özcan, Seray Gizem Gür; Zengin, Nezih; Bilir, Burak; Kat, Nurcan Kaçmaz; Durak, Doğukan
- Abstract
Objectives: The aim of this study is to investigate the hiatus defect diameter by measuring on multi-detector computed tomography images in hiatal hernia patients. Methods: The multi-detector computed tomography images of 50 patients and 50 individuals in control group included in this study were investigated. The hiatus surface area (cm²), hiatus antero-posterior and transverse diameters (cm), and the thickness of both diaphragmatic crura (mm) were measured by reformatting contrastenhanced thoraco-abdomino-pelvic computed tomography images using the region of interest method. Results: In this study, a significant difference was obtained among groups according to hiatus surface area, hiatus antero-posterior, and transverse diameter measurements, and both left and right diaphragmatic crural thickness measurements (P<0.001). In the patient group, the cut-off values were determined by using ROC analysis, and the values above these cut-off values enabled a hernia diagnosis with high sensitivity and specificity. Conclusion: Measuring the hiatus surface area on multi-detector computed tomography images could serve as a supplementary criterion for diagnosing of hiatal hernia.
- Subjects
HIATAL hernia; COMPUTED tomography; DIAGNOSIS; PATIENTS; DIAPHRAGMATIC hernia
- Publication
European Research Journal, 2024, Vol 10, Issue 3, p326
- ISSN
2149-3189
- Publication type
Article
- DOI
10.18621/eurj.1392696