Title:Application of Transabdominal Ultrasonography in the Diagnosis of Absent
Contractility - A Case Report
Volume: 20
Author(s): Mingyang Hu and Dong Liu*
Affiliation:
- Department of Ultrasound, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
Keywords:
Transabdominal ultrasound, Esophageal motility disorders, Peristalsis, Absent contractility, HRM, LES.
Abstract:
Introduction:
Absent contractility is a kind of esophageal motility disorder. Patients are often diagnosed by endoscopic ultrasonography or high-resolution
manometry (HRM). In this paper, we report two cases of absent esophageal contractility first discovered by transabdominal ultrasonography.
Case Presentation:
The main symptom of both cases was acid reflux, and the main diagnosis was absent esophageal contractility. They were all discovered by
transabdominal ultrasonography. After the treatment of surgery or drugs, the symptoms relieved during follow-up, without any other discomforts.
Conclusion:
Transabdominal ultrasound as a primary screening method for absent contractility is proposed in this paper, which is non-invasive, real-time, and
fast. Ultrasound is expected to improve the diagnostic efficiency of peristalsis and patient experience in combination with the above invasive
examinations. The use of sonography in the diagnosis of absent contractility has seldom been studied. Further investigation is required to determine
whether this technique may better assess absent contractility.