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2024-09-13 04:56 本頁面
【文章內(nèi)容簡介】 aabdominal LES length. In the normal anatomical position at least 1 cm of the LES should be below PIP. When a hiatal hernia is present, the intraabdominal length will be shorter and may even be negative. For example, when the entire LES plus 3 cms of stomach have been displaced above PIP, the intraabdominal length will be reported as 3.What does a hiatal hernia look like in ClouseVIEW? The diaphragm shows as a band of round or oval dots of pressure with each inspiration. This leads to a pattern on the Clouse plot that can resemble a beaded necklace that has been laid out flat. This band can run at the same level as the LES (normal anatomical position) or below the LES (hiatal hernia). If the diaphragm is at or just under the LES, this inspiration pattern may seem to relax with the LES. If the diaphragm is well below the LES as in a moderate to large hiatal hernia, the diaphragm pattern changes little during a swallow.When two horizontal lines of increased pressure are seen in the area at the bottom of a swallow, the LES will always be above the
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