| Evaluation of the Gastro-oesophageal Junction: Defining the Incompetent Cardio-oeosophageal Angle Non-invasively with Ultrasound and Computerized Tomography. | |
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MedLine Citation:
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PMID: 21986121 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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This study aimed to demonstrate the presence of gastro-oesophageal reflux disease (GORD) non-invasively using ultrasound (US) and computerized tomography (CT). Intra-abdominal oesophageal length (IAOL) and cardio-oesophageal angle (COA) were measured by US in 25 patients with known reflux and in 25 healthy subjects (control group). CT images of 42 patients with reflux disease and 44 controls were reviewed retrospectively, and IAOL and COA were measured on curved multiplanar format images. Using a cut-off value for IAOL of 20.5 mm, the sensitivity to detect GORD with US was 96% and the specificity was 80% and, with CT, the sensitivity was 95% and the specificity was 78%. A cut-off value of 138.5° for COA yielded sensitivity and specificity values for GORD detection of 76% and 72% with US and 83% and 80% with CT, respectively. In conclusion, with equivocal diagnostic findings, IAOL and COA are useful parameters that can be determined non-invasively by US or CT and may aid diagnosis and treatment choices for patients with suspected GORD. |
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Authors:
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D Yildirim; B Ekçi; B Gürses; F Oruç |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of international medical research Volume: 39 ISSN: 1473-2300 ISO Abbreviation: J. Int. Med. Res. Publication Date: 2011 |
Date Detail:
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Created Date: 2011-10-11 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0346411 Medline TA: J Int Med Res Country: England |
Other Details:
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Languages: eng Pagination: 1193-200 Citation Subset: IM |
Affiliation:
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Department of Radiology, Kasimpasa Military Hospital, Kasimpasa, Bahriye Hastanesi Yokusu, Kadimehmet Sokak, 34440, Beyoglu, Istanbul, Turkey. yildirimduzgun@yahoo.com. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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