Clinical Application of Gastric Contrast-Enhanced Ultrasound in Diagnosis and Management of Hiatal Hernia

Qingling JIANG; Guangjian LIU

doi:10.3881/j.issn.1000-503X.16646

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Acta Academiae Medicinae Sinicae ›› 2025, Vol. 47 ›› Issue (5) : 710-715. DOI: 10.3881/j.issn.1000-503X.16646

Clinical Application of Gastrointestinal Ultrasound

Clinical Application of Gastric Contrast-Enhanced Ultrasound in Diagnosis and Management of Hiatal Hernia

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Abstract

Hiatal hernia (HH) refers to a common digestive system disorder in which the stomach or other abdominal organs protrude into the thoracic cavity through the esophageal hiatus.With changes of people’s lifestyles,accelerated aging,and rising rates of obesity and overweight,the incidence of HH in China has been steadily increasing.Early diagnosis and accurate classification of HH are critical for guiding treatment decisions. Conventional diagnostic methods—such as barium swallow X-ray,gastroscopy,computed tomography,and high resolution esophageal manometry—have limitations,including invasiveness,radiation exposure,high costs,or inadequate dynamic assessment.Gastric contrast-enhanced ultrasound,as a novel non-invasive imaging technique,has demonstrated unique advantages in the evaluation of HH in recent years.This article reviews the technical principles,clinical applications,and recent advancements of gastric contrast-enhanced ultrasound.

Key words

gastric contrast-enhanced ultrasound / hiatal hernia / dynamic / non-invasiveness

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Qingling JIANG , Guangjian LIU. Clinical Application of Gastric Contrast-Enhanced Ultrasound in Diagnosis and Management of Hiatal Hernia[J]. Acta Academiae Medicinae Sinicae. 2025, 47(5): 710-715 https://doi.org/10.3881/j.issn.1000-503X.16646

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