Mode of action of alginic acid compound in the reduction of gastroesophageal reflux. [Sr-87m, Tc-99m]
This study was designed to evaluate quantitatively the mode of action of alginic acid compound (AAC) in the treatment of patients with symptomatic gastroesophageal reflux. Gastroesophageal scintigraphy using an orally administered Tc-99m sulfur colloid solution was used to demonstrate that AAC decreased significantly the gastroesophageal reflux index from (9.9 +- 1.3)% to (6.5 +- 0.8)% (p < 0.05). No alteration of lower esophageal sphincter pressure was observed. After AAC was suitably labeled with Sr-87m, a dual-nuclide scintigraphic technique was used to show that most (< 75%) of the AAC was located in the upper half of the stomach in both normal subjects and patients with gastroesophageal reflux. In those subjects in whom reflux did occur after treatment with AAC, the Sr-87m-AAC refluxed into the esophagus preferentially compared with the liquid containing Tc-99m sulfur colloid. These findings suggest that AAC diminishes gastroesophageal reflux by means of its foaming, floating, and viscous properties.
- Research Organization:
- Temple Univ., Philadelphia, PA
- OSTI ID:
- 5707147
- Journal Information:
- J. Nucl. Med.; (United States), Vol. 20:10
- Country of Publication:
- United States
- Language:
- English
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DIGESTIVE SYSTEM DISEASES
DIAGNOSIS
ESOPHAGUS
SCINTISCANNING
STOMACH
STRONTIUM 87
DUAL-ISOTOPE SUBTRACTION TECHNIQUE
TECHNETIUM 99
ALGINATES
BIOLOGICAL LOCALIZATION
EXPERIMENTAL DATA
ISOLATED VALUES
ISOMERIC NUCLEI
PATIENTS
RADIOCOLLOIDS
SULFUR COMPLEXES
ALKALINE EARTH ISOTOPES
BETA DECAY RADIOISOTOPES
BETA-MINUS DECAY RADIOISOTOPES
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DISPERSIONS
ELECTRON CAPTURE RADIOISOTOPES
EVEN-ODD NUCLEI
GASTROINTESTINAL TRACT
HOURS LIVING RADIOISOTOPES
INFORMATION
INTERMEDIATE MASS NUCLEI
ISOMERIC TRANSITION ISOTOPES
ISOTOPE APPLICATIONS
ISOTOPES
NUCLEI
NUMERICAL DATA
ODD-EVEN NUCLEI
ORGANS
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STRONTIUM ISOTOPES
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TRACER TECHNIQUES
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550601* - Medicine- Unsealed Radionuclides in Diagnostics