Computed-tomographic anatomy of the abdominal part of esophagus, esophagus hiatal hernias and possibilities of their early diagnostics

Mironchev A.O.

Orenburg State Medical University

Kagan I.I.

Orenburg State Medical University

Computed-tomographic anatomy of the abdominal part of esophagus, esophagus hiatal hernias and possibilities of their early diagnostics

Authors:

Mironchev A.O., Kagan I.I.

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Journal: Russian Journal of Operative Surgery and Clinical Anatomy. 2021;5(3): 30‑37

DOI: 10.17116/operhirurg2021503130

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To cite this article:

Mironchev AO, Kagan II. Computed-tomographic anatomy of the abdominal part of esophagus, esophagus hiatal hernias and possibilities of their early diagnostics. Russian Journal of Operative Surgery and Clinical Anatomy. 2021;5(3):30‑37. (In Russ.)
https://doi.org/10.17116/operhirurg2021503130

Подписка 2025-2 (Russian Journal of Operative Surgery and Clinical Anatomy)

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OBJECTIVE

To make computed-tomographic substantiation and creation for esophagus hiatal hernia diagnostic.

MATERIAL AND METHODS

Serial computed tomograms of 57 patients were performed. The 52 patients had no signs of pathology and 5 ones with hiatal hernia. Based on axial tomograms the frontal and sagittal reconstructions were prepared.

RESULTS

Computed tomographic anatomy of esophagus abdominal part are characterized by the absence of lumen in axial tomograms and some individual differences: length from 10 to 53 mm; frontal inclination angle from 11 to 68°; round, round-oval, oval, bean-kind forms with section area from 0.9 to 5.2 cm²; the interval to abdominal part of aorta from 17 to 48 mm and to spine from 21 to 56 mm. The computed-tomographic picture of axial esophageal hernias represented by lumen along the abdominal esophagus, gastric folds in esophagus section, the increase of esophagus section area with the increase of esophagus aorta index up to 1.0 and more that mutually represents the complex for computed-tomographic diagnostics. The developed method for the diagnostic of hiatal hernia allows the early diagnosis of axial esophagus hiatal hernia.

CONCLUSION

A method for the early diagnostic of esophageal axial hernias based on computed tomographic anatomy of the abdominal esophagus has been developed.

Keywords:

computed tomography

esophagus

esophagus hiatal hernias

and diagnostics

Authors:

Mironchev A.O.

Orenburg State Medical University

Kagan I.I.

Orenburg State Medical University

Received:

21.05.2020

Accepted:

23.09.2020

List of references:

Cherkasov DM, Cherkasov MF, Tatyanchenko VK, Startzev UM, Melikova SG. Anatomical peculiarities and biomechanical properties of the diaphragm in pathogenesis of the development of esophagus hiatal hernias. Khirurgiya. Zhurnal im. N.I. Pirogova. 2019;7:29-35. https://doi.org/10.17116/hirurgia201907129
Kulagin AL, Afanasyeva NI, Yudin AL, Yumatova EA. Possibilities of computer tomography in diagnostics of esophagus hiatal hernias. Luchevaya diagnostika i terapiya. 2016;3(7):15-24.
Mironchev AO. Computer-tomographical anatomy of the abdominal part of esophagus. Morfologiya. 2017;152(5):61-64.
Zyabreva IA, Dzhulay TE. Esophagus hiatal hernias: disputable, undetermined and perspective aspects of the problem (review of literature). Voronezhskii meditsinskii zhurnal. 2015;14(4):24-28.
Alishichov ShA, Bogdanov DYu, Alishichov AM, Abdulzhalilov MK. History of the development of diagnostics and treatment of patients with esophagus hiatal hernias. Endoskopicheskaya khirurgiya. 2012;18:3:64-70.
Ratchik VM, Prolom NV, Tarabarov SO, Khokhlenko HV, Halinskyi OO. Possibilities of diagnosis and laparoscopic methods of treatment for hiatal hernia. Gastroenterology. 2019;53(1):7-13.
Garanin AA, Adyshirin-Sade EE, Osadchuk AM. About new physical symptom in diagnostics of esophagus hiatal hernias. Meditsinskii al’manakh. 2018;1(52):43-48.
Papenko RYu. Rentgenodiagnostics of esophagus hiatal hernias, its complications and triady senta. Byulleten’ meditsinskikh internet-konferentsii. 2016;6(6):1191.
Lukanin DV, Sokolov AA, Rodoman GV, Sokolov AA, klimenko MS, Gritzkova IV, Knyaskova EO. Possibilities of endoscopic ultrasonography in the diagnostics of esophagus hiatal hernias. Khirurg. 2019;7:3-24.
Dogadin SP. Method of the diagnostics of esophagus hiatal hernias and functional disorders of esophagus with applying standard positions in numerical roentgenography. Patent on the invention RU №2663385 C1, 03.08.2018.
Garanin AA. Method of increase of effectiveness in physical diagnostics of diaphragmatic hernias. Patent on the invention RU №2715980 C1, 04.03.2020.
Styazhkina SN, Galimova AR, Bannikova VA. Peculiarities of diagnostics and treatment of patients with esophagus hiatal hernia. Sovremennye tendentsii razvitiya nauki i tekhniki. 2016;4(2):100-103.
Semenyakin IV, Dibrov MD, Erin SA, Fomin VS, Svitina KA, Chupalov MO, Kondratyev AV. Clinic-instrumental peculiarities of the diagnostics of esophagus hiatal hernias. Moskovskii khirurgicheskii zhurnal. 2017;2(54):30-37.
Kapralov NV, Rok AR. Innovational technologies of functional diagnostics of esophagus. Innovatsionnye tekhnologii v meditsine. 2017;4:275-282.
Mironchev AO, Kagan II, Rykov AE, Mironchev EO, Veytsman ID. The method for diagnostics of esophagus hiatal hernias. Patent on the invention RU №2504332 C1, 20.01.2014.
Hofer M. Computer tomography. Basic guidance. 2nd publishing. M.: Medlit; 2008.

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