Transient postsurgical gastroparesis is accompanied by reversible changes of the cervical vagus nerve's morphology after neck dissection - An ultrasound study

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dc.authorscopusid56084894100
dc.authorscopusid55770607000
dc.contributor.authorÖzçağlayan, Ömer
dc.contributor.authorErsözlü, Tolga
dc.date.accessioned2022-05-11T14:02:49Z
dc.date.available2022-05-11T14:02:49Z
dc.date.issued2020
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kulak Burun ve Boğaz Hastalıkları Ana Bilim Dalı
dc.description.abstractAims: 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.
dc.identifier.doi10.11152/mu-2230
dc.identifier.endpage30
dc.identifier.issn1844-4172
dc.identifier.issue1en_US
dc.identifier.pmid32096784
dc.identifier.scopus2-s2.0-85085652333
dc.identifier.scopusqualityQ2
dc.identifier.startpage26
dc.identifier.urihttps://doi.org/10.11152/mu-2230
dc.identifier.urihttps://hdl.handle.net/20.500.11776/4498
dc.identifier.volume22
dc.identifier.wosWOS:000517228300005
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorÖzçağlayan, Ömer
dc.institutionauthorErsözlü, Tolga
dc.language.isoen
dc.publisherSocietatea Romana de Ultrasonografie in Medicina si Biologie
dc.relation.ispartofMedical Ultrasonography
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectGastroparesis
dc.subjectNeck dissection
dc.subjectUltrasound
dc.subjectVagus nerve
dc.subjectadult
dc.subjectaged
dc.subjectArticle
dc.subjectblood vessel diameter
dc.subjectclinical article
dc.subjectcontrolled study
dc.subjectdisease severity
dc.subjectechography
dc.subjectfemale
dc.subjectgastrointestinal symptom
dc.subjecthuman
dc.subjectmale
dc.subjectneck dissection
dc.subjectpostoperative complication
dc.subjectpreoperative evaluation
dc.subjectstomach paresis
dc.subjectvagus nerve
dc.subjectadverse event
dc.subjectcomplication
dc.subjectdiagnostic imaging
dc.subjectechography
dc.subjectmiddle aged
dc.subjectneck dissection
dc.subjectpathology
dc.subjectpostoperative complication
dc.subjectprocedures
dc.subjectstomach paresis
dc.subjecttime factor
dc.subjectvagus nerve
dc.subjectvagus nerve injury
dc.subjectvery elderly
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectFemale
dc.subjectGastroparesis
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectNeck Dissection
dc.subjectPostoperative Complications
dc.subjectTime Factors
dc.subjectUltrasonography
dc.subjectVagus Nerve
dc.subjectVagus Nerve Injuries
dc.titleTransient postsurgical gastroparesis is accompanied by reversible changes of the cervical vagus nerve's morphology after neck dissection - An ultrasound study
dc.typeArticle

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