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Technique of scanning for Meckel's diverticulum

Journal Article · · Clin. Nucl. Med.; (United States)
/sup 99m/Tc-pertechnetate scanning is now recognized as a useful means of detecting Meckel's diverticula. When these contain gastric mucosa and present with ulceration and bleeding, the ectopic gastric mucosa can be identified by its secretion of /sup 99m/Tc-pertechnetate. However, the secretations of normal gastric and salivary glands can pool in the gut and simulate a Meckel's diverticulum. We believe the diagnostic procedure of choice to include both continuous nasogastric suction and continuous sequential gamma camera images. To support this view, we present cases illustrating (1) that /sup 99m/Tc-pertechnetate can appear in the bowel within the first few minutes of administering /sup 99m/Tc-pertechnetate, even in the absence of a Meckel's diverticulum; (2) that rapid sequential camera views are helpful but not definitive in distinguishing such bowel activity from a Meckel's diverticulum; and (3) that continuous nasogastric suction most successfully eliminates this interference.
Research Organization:
Univ. of Alabama Hospital, Birmingham
OSTI ID:
6741554
Journal Information:
Clin. Nucl. Med.; (United States), Journal Name: Clin. Nucl. Med.; (United States) Vol. 3:5; ISSN CNMED
Country of Publication:
United States
Language:
English