MRI patterns of Nissen fundoplication: normal appearance and mechanisms of failure

Kulinna-Cosentini, Christiane; Schima, Wolfgang; Ba‐Ssalamah, Ahmed; Cosentini, Enrico P.

doi:10.1007/s00330-014-3267-x

Cited by 23 publications

(21 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, it is not surprising that MRI achieves better results than endoscopy in diagnosing the location of the wrap or even its disruption [20]. Magnetic resonance imaging was able to confirm the correct position in 93% of patients and wrap disruption in all patients, when compared with the intraoperative results of the revision surgery [20]. In another study where endoscopy was used as a reference test, real-time MRI yielded an excellent sensitivity of 92%, with a specificity of only 17% [22].…”

Section: Impact Of Swallowing Mri In Failed Larsmentioning

confidence: 99%

“…However, a "Toupet" fundoplication (270°circumference) can mimic a partial disruption of a Nissen fundoplication (360°complete circumference). Swallowing MRI has the major advantage of combining anatomical with functional information, enabling the assessment of esophageal dysmotility after fundoplication [20,22]. A reduction of propulsive contractions and a bolus transit time more than 20 s are a strong indicator of esophageal dysmotility [20].…”

Section: Wrap Disruptionmentioning

confidence: 99%

“…This new method was also reviewed in the assessment of motility disorders [14,15], as well as in the diagnosis of GERD [4,[16][17][18][19]. Since 2014, it has been used to monitor treatment after antireflux surgery [20][21][22].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Swallowing MRI for GERD—diagnosis and treatment monitoring

et al. 2019

Self Cite

View full text Add to dashboard Cite

Background This study aimed to summarize a new technology for magnetic resonance imaging (MRI) of swallowing in the evaluation of esophageal function and gastroesophageal reflux disease (GERD) as well as for postoperative imaging after antireflux surgery. Methods A search was carried out in the Medline database to identify relevant publications. Results Magnetic resonance swallowing is a new, simple, nonionizing radiological method used to confirm the diagnosis of GERD or any motility disorder. The MR diagnosis of GERD was concordant with the pHmetry in 82% of patients. However, the main clinical indication is for evaluation of the cause of fundoplication failure in the postoperative patient who suffers new or recurrent symptoms. Magnetic resonance swallowing is the only method that enables a direct view of the wrap itself. In up to 93% of cases, the correct position of the fundoplication wrap could be determined; 67% of malpositions were assessed, as well as all cases of wrap.

show abstract

Section: Impact Of Swallowing Mri In Failed Larsmentioning

confidence: 99%

Section: Wrap Disruptionmentioning

confidence: 99%

See 1 more Smart Citation

Swallowing MRI for GERD—diagnosis and treatment monitoring

et al. 2019

Self Cite

View full text Add to dashboard Cite

show abstract

“…The role of MRI in studying oesophageal motility has been looked at and compared with high-resolution manometry to diagnose achalasia 36 and observe functional and anatomical information in Nissen fundoplication. 37 Both studies had subjects swallowing liquids whilst undergoing MRI, acquiring images using fast spinecho and cine bSSFP sequences. Studying 11 suspected achalasia patients and 3 control subjects, the authors concluded that MRI was safe and feasible for the diagnosis of achalasia.…”

Section: Evaluation Of Gi Motility and Movement Of Chyme By Mrimentioning

confidence: 99%

Will MRI of gastrointestinal function parallel the clinical success of cine cardiac MRI?

Hoad

Clarke

Marciani

et al. 2018

The British Journal of Radiology

View full text Add to dashboard Cite

How cine MRI entered clinical practice in the cardiac field MRI has always been an attractive imaging modality for the evaluation of cardiac morphology and function. 1 Cardiac MRI has the advantage that both cardiac and respiratory motion are generally periodic and relatively easily monitored, albeit indirectly, through synchronisation to the subjects' electrocardiogram (ECG) and the use of respiratory bellows. However, it only took a few years after the development of commercial MRI systems for functional cardiac imaging to be developed, with ECG-gated cine imaging first reported in 1988. 2

show abstract

“…Partial or complete disruptions of the fundoplication sutures are demonstrated by a partial or missing wrap, combined with slipping of the gastric fundus or a paraesophageal hernia . A new imaging method, MR fluoroscopy, has shown promising results for the exact localization of dislocated fundoplication wraps …”

Section: Postoperative Esophagusmentioning

confidence: 99%

What is the role of radiological testing of lower esophageal sphincter function?

Scharitzer¹,

Pokieser

2016

Annals of the New York Academy of Sciences

View full text Add to dashboard Cite

Radiological fluoroscopic evaluation remains the primary imaging modality of choice to evaluate patients with swallowing disorders, despite the increasing availability and technical advantages of nonradiological techniques and the current radiological focus on cross-sectional imaging studies, such as computed tomography and magnetic resonance imaging. The radiological swallowing evaluation should be tailored to assess the entire upper gastrointestinal tract, including the lower esophageal sphincter. Fluoroscopy enables the simultaneous assessment of esophageal motility disorders, as well as structural pathologies, including strictures, webs, rings, diverticula, and tumors. Mono- and double-contrast esophagrams and solid bolus tests together allow assessment of lower esophageal sphincter function and complement other methods, such as endoscopy, manometry, or impedance planimetry. Here we review the role of radiological studies for correct assessment of structural and functional pathologies at the level of the lower esophageal sphincter.

show abstract

MRI patterns of Nissen fundoplication: normal appearance and mechanisms of failure

Abstract: MRI offers simultaneous morphological and functional imaging in one diagnostic method. MR fluoroscopy offers the possibility to identify the wrap position. MRI enables a non-invasive diagnosis, providing detailed information for the surgeon.

Cited by 23 publications

References 32 publications

Swallowing MRI for GERD—diagnosis and treatment monitoring

Swallowing MRI for GERD—diagnosis and treatment monitoring

Will MRI of gastrointestinal function parallel the clinical success of cine cardiac MRI?

What is the role of radiological testing of lower esophageal sphincter function?

Contact Info

Product

Resources

About