Transient postsurgical gastroparesis is accompanied by reversible changes of the cervical vagus nerve's morphology after neck dissection - An ultrasound study
Yükleniyor...
Dosyalar
Tarih
2020
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Societatea Romana de Ultrasonografie in Medicina si Biologie
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Aims: During neck dissection (ND), the vagus nerve (VN) may be exposed to manipulation together with common carotid artery and internal jugular vein. The postsurgical gastroparesis was previous related to the VN injury. The aim of our study was to evaluate by ultrasound the VN changes in patients with unilateral and bilateral ND and to establish if there is a relationship between postoperative findings of VN and postsurgical gastroparesis. Material and methods: Seventeen patients in which 30 ND (4 unilateral and 13 bilateral) were performed, were enrolled in the study. The VN’s area and diameter were measured preoperative (baseline), one week (T1) and one month (T2) postoperative. Gastrointestinal symptoms were evaluated at T1 and T2 phases using the patient assessment of the upper gastrointestinal symptom severity index (PAGI-SYM). Results: There was a statistical difference between area and diameters of VN between T1 and baseline (p<0.001), and T1 and T2 phases (p<0.001), respectively. No statistical differences were detected at baseline and T2 phases in areas (p=0.934) and diameters (p>0.999). Gastrointestinal symptoms, found at the T1 phase regressed at T2 phase, were correlated with VN area and diameter changes (p<0.001). Conclusions: VN ultrasound clearly showed the transient dimensional changes of VN caused by manipulation in ND, which may lead to temporary gastrointestinal symptoms due to reversible dysfunction of VN. © 2020 Societatea Romana de Ultrasonografie in Medicina si Biologie. All rights reserved.
Açıklama
Anahtar Kelimeler
Gastroparesis, Neck dissection, Ultrasound, Vagus nerve, adult, aged, Article, blood vessel diameter, clinical article, controlled study, disease severity, echography, female, gastrointestinal symptom, human, male, neck dissection, postoperative complication, preoperative evaluation, stomach paresis, vagus nerve, adverse event, complication, diagnostic imaging, echography, middle aged, neck dissection, pathology, postoperative complication, procedures, stomach paresis, time factor, vagus nerve, vagus nerve injury, very elderly, Adult, Aged, Aged, 80 and over, Female, Gastroparesis, Humans, Male, Middle Aged, Neck Dissection, Postoperative Complications, Time Factors, Ultrasonography, Vagus Nerve, Vagus Nerve Injuries
Kaynak
Medical Ultrasonography
WoS Q Değeri
Q3
Scopus Q Değeri
Q2
Cilt
22
Sayı
1
