Usefulness of Ultrasound in Evaluating the Diaphragm in Neonates and Infants With Congenital Diaphragmatic Hernias

Hosokawa, Takahiro; Takahashi, Hiroaki; Tanami, Yutaka; Sato, Yumiko; Hosokawa, Mayumi; Kato, Reiko; Kawashima, Hiroshi; Oguma, Eiji

doi:10.1002/jum.14777

Cited by 9 publications

(8 citation statements)

References 20 publications

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“…At present, US measurements are useful (i) in assessing diaphragm dysfunction (paralysis [37], asymmetrical movements [55], congenital anomalies [56]) or (ii) as a prognostic marker for frequent exacerbations in COPD patients [32]. It is also worth considering US measurements of the diaphragm in surgical management/repair of congenital diaphragmatic hernia [57][58][59] and as an additional indicator in the assessment of effort tolerance in pulmonary rehabilitation or rehabilitation progress [60].…”

Section: Clinical Contextmentioning

confidence: 99%

Ultrasonography in Assessment of Respiratory Muscles Function: A Systematic Review

et al. 2022

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Introduction: The purpose of this study was to evaluate the potential utility of respiratory muscles ultrasound (US) imaging for assessing respiratory function and identify US variables that best correlate with pulmonary parameters. Materials and Methods: A search of 5 databases was conducted. Initially, there was no language, study design, or time frame restrictions. All studies assessing the relationship between pulmonary and US parameters were included. Two reviewers independently extracted and documented data regarding to examined population, age, gender, health condition, methodology, US, and pulmonary function measurements. All studies were qualitative synthesis. Results: A total of 1,272 participants from 31 studies were included. Diaphragm thickness, diaphragm thickening ratio, and diaphragm excursion amplitude were mainly used as US parameters. Forced vital capacity, forced expiratory volume1sec, and maximal inspiratory pressure were mainly used as pulmonary parameters. The relationships between pulmonary and US parameters varied from negligible to strong (depend on examined population and methodology used). Data were not quantitatively synthesis due to high heterogeneity in terms of study design, population examined, and various pulmonary and US parameters. Conclusion: A strong relationship between US measurements and pulmonary parameters was demonstrated in some studies but not others. This review confirmed that US measurements can complement spirometry, but the exact role of the US remains to be confirmed. Further studies using standardized methodology are needed to obtain more conclusive evidence on the usefulness of US for assessing respiratory function.

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Section: Clinical Contextmentioning

confidence: 99%

Ultrasonography in Assessment of Respiratory Muscles Function: A Systematic Review

et al. 2022

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“…Few reports on Morgagni hernias in children are available. Morgagni hernias are easily misdiagnosed or missed because their symptoms are mild and atypical[ 2 ]. In the present report, retrosternal hernias that were accidentally discovered by ultrasound (US) are described, and their ultrasonic manifestations are specified.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound diagnosis of congenital Morgagni hernias: Ten years of experience at two Chinese centers

Shi,

Chen,

Yin

et al. 2024

World J Clin Cases

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BACKGROUND Morgagni hernias are rare anomalies that are easily misdiagnosed or missed. AIM To summarize the ultrasound (US) imaging characteristics of Morgagni hernias through a comparison of imaging and surgical results. METHODS The records of children with Morgagni hernias who were hospitalized at two hospitals between January 2013 and November 2023 were retrospectively reviewed in terms of clinical findings, US features, and operative details. RESULTS Between 2013 and 2023, we observed nine (five male and four female) children with Morgagni hernias. Upper abdominal scanning revealed a widening of the prehepatic space, with an abnormal channel extending from the xiphoid process to the right or left side of the thoracic cavity. The channel had intestinal duct and intestinal gas echoes. Hernia contents were found in the transverse colon (n = 6), the colon and small intestine (n = 2), and the colon and stomach (n = 1). Among the patients, seven had a right-sided lesion, two had a left-sided lesion, and all of them had hernial sacs. CONCLUSION US imaging can accurately determine the location, extent, and content of Morgagni hernias. For suspected Morgagni hernias, we recommend performing sonographic screening first.

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“…Although the evaluation of the defect size of CDH using postnatal ultrasonography was reported in few recent reports [11], [12], [13], the evaluation of a hernia sac was not noted. Here, we report a case of CDH with a hernia sac detected via postnatal ultrasonography.…”

Section: Introductionmentioning

confidence: 99%

Postnatal ultrasonography for evaluation of hernia sac of neonate with congenital diaphragmatic hernia

Hosokawa

Tanami

Sato

et al. 2019

Radiology Case Reports

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Congenital diaphragmatic hernia (CDH) is one of the most common major congenital anomalies. The presence of a hernia sac is associated with additional benefits in terms of improved neonatal survival. Here, we report a case of CDH with a hernia sac detected via postnatal ultrasonography. Our literature search did not find other cases where CDH with hernia sac was found by postnatal ultrasound in neonates. In prenatal imaging, the diagnosis of CDH with a hernia sac is challenging. In our case, the meniscus of the thymus was clearly noted, and smooth convexity between the hernia contents and thymus was detected. Although evaluation of the presence of a hernia sac with postnatal ultrasonography might be difficult, our findings suggest that a hernia sac could be evaluated with postnatal ultrasonography.

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Usefulness of Ultrasound in Evaluating the Diaphragm in Neonates and Infants With Congenital Diaphragmatic Hernias

Cited by 9 publications

References 20 publications

Ultrasonography in Assessment of Respiratory Muscles Function: A Systematic Review

Ultrasonography in Assessment of Respiratory Muscles Function: A Systematic Review

Ultrasound diagnosis of congenital Morgagni hernias: Ten years of experience at two Chinese centers

Postnatal ultrasonography for evaluation of hernia sac of neonate with congenital diaphragmatic hernia

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