{"id":"https://openalex.org/W7224926664","doi":"https://doi.org/10.60014/pmjg.v15i2.602","title":"The Conundrum Of Intractable Hiccups: The Role Of Surgery","display_name":"The Conundrum Of Intractable Hiccups: The Role Of Surgery","publication_year":2026,"publication_date":"2026-10-30","ids":{"openalex":"https://openalex.org/W7224926664","doi":"https://doi.org/10.60014/pmjg.v15i2.602"},"language":"en","primary_location":{"id":"doi:10.60014/pmjg.v15i2.602","doi":"https://doi.org/10.60014/pmjg.v15i2.602","is_oa":true,"landing_page_url":"https://doi.org/10.60014/pmjg.v15i2.602","pdf_url":"https://journal.gcps.edu.gh/index.php/pmjg/article/download/602/407","source":{"id":"https://openalex.org/S4387291059","display_name":"Postgraduate Medical Journal of Ghana","issn_l":"2026-6790","issn":["2026-6790","2343-6921"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["jpps-2"],"host_organization":"https://openalex.org/I4210129436","host_organization_name":"Ghana College of Physicians and Surgeons","host_organization_lineage":["https://openalex.org/I4210129436"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Postgraduate Medical Journal of Ghana","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://journal.gcps.edu.gh/index.php/pmjg/article/download/602/407","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5024627711","display_name":"Isaac Okyere","orcid":"https://orcid.org/0000-0002-2008-6978","observed_orcids":["https://orcid.org/0000-0002-2008-6978"]},"institutions":[{"id":"https://openalex.org/I28046988","display_name":"Kwame Nkrumah University of Science and Technology","ror":"https://ror.org/00cb23x68","country_code":"GH","type":"education","lineage":["https://openalex.org/I28046988"]}],"countries":["GH"],"is_corresponding":false,"raw_author_name":"Isaac Okyere","raw_affiliation_strings":["Kwame Nkrumah University of Science and Technology"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kwame Nkrumah University of Science and Technology","institution_ids":["https://openalex.org/I28046988"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160165708","display_name":"William Addison","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"William Addison","raw_affiliation_strings":["williamaddison@yahoo.com"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"williamaddison@yahoo.com","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112458581","display_name":"Nana Addo Boateng","orcid":"https://orcid.org/0009-0008-0255-6092","observed_orcids":["https://orcid.org/0009-0008-0255-6092"]},"institutions":[{"id":"https://openalex.org/I28046988","display_name":"Kwame Nkrumah University of Science and Technology","ror":"https://ror.org/00cb23x68","country_code":"GH","type":"education","lineage":["https://openalex.org/I28046988"]}],"countries":["GH"],"is_corresponding":false,"raw_author_name":"Nana Addo Boateng","raw_affiliation_strings":["Kwame Nkrumah University of Science and Technology, Kumasi, Ghana"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kwame Nkrumah University of Science and Technology, Kumasi, Ghana","institution_ids":["https://openalex.org/I28046988"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5123967690","display_name":"Bryn Ansong","orcid":"https://orcid.org/0009-0003-4293-1436","observed_orcids":["https://orcid.org/0009-0003-4293-1436"]},"institutions":[{"id":"https://openalex.org/I2799504885","display_name":"Komfo Anokye Teaching Hospital","ror":"https://ror.org/05ks08368","country_code":"GH","type":"healthcare","lineage":["https://openalex.org/I2799504885"]}],"countries":["GH"],"is_corresponding":false,"raw_author_name":"Bryn Ansong","raw_affiliation_strings":["Komfo Anokye Teaching Hospital , Kumasi, Ghana"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Komfo Anokye Teaching Hospital , Kumasi, Ghana","institution_ids":["https://openalex.org/I2799504885"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160212464","display_name":"Enoch Amoako Adusei","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799504885","display_name":"Komfo Anokye Teaching Hospital","ror":"https://ror.org/05ks08368","country_code":"GH","type":"healthcare","lineage":["https://openalex.org/I2799504885"]}],"countries":["GH"],"is_corresponding":false,"raw_author_name":"Enoch Amoako Adusei","raw_affiliation_strings":["Komfo Anokye Teaching Hospital , Kumasi, Ghana"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Komfo Anokye Teaching Hospital , Kumasi, Ghana","institution_ids":["https://openalex.org/I2799504885"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5114623768","display_name":"Patrick Nti","orcid":"https://orcid.org/0009-0004-1942-2294","observed_orcids":["https://orcid.org/0009-0004-1942-2294"]},"institutions":[{"id":"https://openalex.org/I2799504885","display_name":"Komfo Anokye Teaching Hospital","ror":"https://ror.org/05ks08368","country_code":"GH","type":"healthcare","lineage":["https://openalex.org/I2799504885"]}],"countries":["GH"],"is_corresponding":false,"raw_author_name":"Patrick Nti","raw_affiliation_strings":["Komfo Anokye Teaching Hospital , Kumasi, Ghana"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Komfo Anokye Teaching Hospital , Kumasi, Ghana","institution_ids":["https://openalex.org/I2799504885"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.848,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"15","issue":"2","first_page":"119","last_page":"122"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T14344","display_name":"Pathogenesis and Treatment of Hiccups","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T14344","display_name":"Pathogenesis and Treatment of Hiccups","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12418","display_name":"Respiratory and Cough-Related Research","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13966","display_name":"Neurological and metabolic disorders","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/intractable-hiccups","display_name":"intractable hiccups","score":0.9990000128746033},{"id":"https://openalex.org/keywords/thoracotomy","display_name":"thoracotomy","score":0.9919999837875366},{"id":"https://openalex.org/keywords/refractory-hiccups","display_name":"refractory hiccups","score":0.9229999780654907},{"id":"https://openalex.org/keywords/phrenic-nerve-block","display_name":"phrenic nerve block","score":0.9679999947547913}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9193999767303467},{"id":"https://openalex.org/C2777099253","wikidata":"https://www.wikidata.org/wiki/Q737313","display_name":"Phrenic nerve","level":3,"score":0.7469000220298767},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6929000020027161},{"id":"https://openalex.org/C179437574","wikidata":"https://www.wikidata.org/wiki/Q15089798","display_name":"Ligation","level":2,"score":0.5813000202178955},{"id":"https://openalex.org/C2779761075","wikidata":"https://www.wikidata.org/wiki/Q58952","display_name":"Hiccups","level":2,"score":0.504800021648407},{"id":"https://openalex.org/C142424586","wikidata":"https://www.wikidata.org/wiki/Q7307572","display_name":"Refractory (planetary science)","level":2,"score":0.48579999804496765},{"id":"https://openalex.org/C2778847313","wikidata":"https://www.wikidata.org/wiki/Q1340337","display_name":"Thoracotomy","level":2,"score":0.462799996137619},{"id":"https://openalex.org/C2778297863","wikidata":"https://www.wikidata.org/wiki/Q1981273","display_name":"Neurolysis","level":2,"score":0.43299999833106995},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.4099999964237213},{"id":"https://openalex.org/C19617505","wikidata":"https://www.wikidata.org/wiki/Q156986","display_name":"Ablative case","level":3,"score":0.39160001277923584},{"id":"https://openalex.org/C2776429440","wikidata":"https://www.wikidata.org/wiki/Q17147916","display_name":"Intractable pain","level":2,"score":0.36230000853538513},{"id":"https://openalex.org/C2777197265","wikidata":"https://www.wikidata.org/wiki/Q4379667","display_name":"Nerve block","level":2,"score":0.3190000057220459}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.60014/pmjg.v15i2.602","doi":"https://doi.org/10.60014/pmjg.v15i2.602","is_oa":true,"landing_page_url":"https://doi.org/10.60014/pmjg.v15i2.602","pdf_url":"https://journal.gcps.edu.gh/index.php/pmjg/article/download/602/407","source":{"id":"https://openalex.org/S4387291059","display_name":"Postgraduate Medical Journal of Ghana","issn_l":"2026-6790","issn":["2026-6790","2343-6921"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["jpps-2"],"host_organization":"https://openalex.org/I4210129436","host_organization_name":"Ghana College of Physicians and Surgeons","host_organization_lineage":["https://openalex.org/I4210129436"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Postgraduate Medical Journal of Ghana","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.60014/pmjg.v15i2.602","doi":"https://doi.org/10.60014/pmjg.v15i2.602","is_oa":true,"landing_page_url":"https://doi.org/10.60014/pmjg.v15i2.602","pdf_url":"https://journal.gcps.edu.gh/index.php/pmjg/article/download/602/407","source":{"id":"https://openalex.org/S4387291059","display_name":"Postgraduate Medical Journal of Ghana","issn_l":"2026-6790","issn":["2026-6790","2343-6921"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["jpps-2"],"host_organization":"https://openalex.org/I4210129436","host_organization_name":"Ghana College of Physicians and Surgeons","host_organization_lineage":["https://openalex.org/I4210129436"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Postgraduate Medical Journal of Ghana","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9537000060081482,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224926664.pdf","grobid_xml":"https://content.openalex.org/works/W7224926664.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3208552951","https://openalex.org/W2312696882","https://openalex.org/W2049253301","https://openalex.org/W2064788665","https://openalex.org/W7096968566","https://openalex.org/W4401374110","https://openalex.org/W4224310800","https://openalex.org/W4302311356","https://openalex.org/W4403146255","https://openalex.org/W3161250450"],"abstract_inverted_index":{"Introduction:":[0],"Intractable":[1,93],"hiccups":[2,73,94],"are":[3],"a":[4,64,68,96],"rare":[5],"clinical":[6],"entity":[7],"defined":[8],"by":[9],"persistent":[10],"episodes":[11],"lasting":[12],"longer":[13],"than":[14],"one":[15],"month.":[16],"Various":[17],"pharmacological":[18,77,122],"therapies":[19],"have":[20,33],"been":[21],"described":[22],"with":[23,51,67,84],"variable":[24],"success.":[25],"Interventional":[26],"approaches":[27],"such":[28],"as":[29],"phrenic":[30,52,85,108],"nerve":[31,53,86,109],"block":[32],"demonstrated":[34],"benefit":[35],"in":[36,114],"selected":[37,116],"cases.":[38],"However,":[39],"there":[40],"is":[41],"limited":[42],"literature":[43],"on":[44],"definitive":[45,112],"surgical":[46,82],"management,":[47],"particularly":[48],"via":[49,90],"thoracotomy":[50],"ligation":[54,87,102],"and":[55,88,103,121],"division.":[56],"Case":[57],"Presentation:":[58],"We":[59],"report":[60],"the":[61,106],"case":[62],"of":[63,71,105],"25-year-old":[65],"female":[66],"five-year":[69],"history":[70],"intractable":[72],"refractory":[74],"to":[75,99],"multiple":[76],"therapies,":[78],"who":[79,118],"underwent":[80],"successful":[81],"management":[83],"division":[89,104],"thoracotomy.":[91],"Conclusion:":[92],"remain":[95],"challenging":[97],"condition":[98],"manage.":[100],"Surgical":[101],"ipsilateral":[107],"may":[110],"provide":[111],"relief":[113],"carefully":[115],"patients":[117],"fail":[119],"conservative":[120],"therapies.":[123]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-31T00:00:00"}