The abdominal technetium scan (a decade of experience)

Journal Article · Fri Oct 01 04:00:00 EDT 1982 · J. Pediatr. Surg.; (United States)

DOI:https://doi.org/10.1016/S0022-3468(82)80121-8· OSTI ID:6097314

Cooney, D R; Duszynski, D O; Camboa, E; Karp, M P; Jewett, Jr, T C

Out of 270 children with gastrointestinal symptoms, the indications for technetium scanning were: gastrointestinal tract bleeding (165 patients), abdominal pain (99 patients) and a history of intussusception (6 patients). Thirty children had abnormal findings, while the remaining 240 patients had normal scans. Four of the 30 children with positive scans were not explored, while the others underwent laparotomy. Of the 26 operated patients, 12 (46%) had a Meckel's diverticulum. Nine patients (34%) had other pathologic lesions that were detected by the scan. Five had true false positives as no pathologic lesions were found. Of the 240 children with negative scans, 19 were eventually explored because of persistent symptoms or clinical findings. Two of these had a Meckel's diverticulum. Eleven had a negative exploration while six had other surgical lesions. Technitium scan should reliably detect around 80%-90% of Meckel's diverticula. It will also accurately exclude the diagnosis of Meckel's diverticulum in over 90% of patients.

• Research Organization: Children's Hospital of Buffalo, NY
• OSTI ID: 6097314
• Journal Information: J. Pediatr. Surg.; (United States), Journal Name: J. Pediatr. Surg.; (United States) Vol. 17:5; ISSN JPDSA
• Country of Publication: United States
• Language: English

Related Subjects

550601* -- Medicine-- Unsealed Radionuclides in Diagnostics
62 RADIOLOGY AND NUCLEAR MEDICINE
ABDOMEN
ACCURACY
AGE GROUPS
BODY
BODY AREAS
CHILDREN
COMPARATIVE EVALUATIONS
COUNTING TECHNIQUES
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DIAGNOSTIC USES
ELEMENTS
HEMORRHAGE
MEDICINE
METALS
NORTH AMERICA
PATHOLOGICAL CHANGES
PATHOLOGY
PATIENTS
RADIOISOTOPE SCANNING
SCINTISCANNING
SURGERY
SYMPTOMS
TECHNETIUM
TRANSITION ELEMENTS
USA
USES