Hiatal hernias in patients with GERD-like symptoms: evaluation of dynamic real-time MRI vs endoscopy.
Ali Seif Amir HosseiniJohannes UhligUlrike StreitAnnemarie UhligThilo SprengerEdris WediVolker EllenriederMichael GhadimiMartin UeckerDirk VoitJens FrahmJoachim LotzLorenz BiggemannPublished in: European radiology (2019)
• Real-time MRI is a safe and fast imaging modality for examination of the gastroesophageal junction, combining anatomical and functional information for enhanced detection of hiatal hernias. • Real-time MRI and endoscopy yield comparably high diagnostic accuracy: real-time MRI visualizes hiatal hernias that were occult on endoscopy in a relevant number of patients; however, several hiatal hernias detected on endoscopy were occult on real-time MRI. • There is clinical potential of real-time MR imaging in patients with GERD-like symptoms and equivocal findings on endoscopy or pH-metry, for anatomical visualization in patients planned for surgical intervention, or those with suspected fundoplication failures.
Keyphrases
- contrast enhanced
- magnetic resonance imaging
- end stage renal disease
- gastroesophageal reflux disease
- newly diagnosed
- ejection fraction
- chronic kidney disease
- small bowel
- diffusion weighted imaging
- randomized controlled trial
- peritoneal dialysis
- prognostic factors
- computed tomography
- magnetic resonance
- high resolution
- mass spectrometry
- photodynamic therapy
- health information