Value of gastro-oesophageal scintigraphy in the detection of gastro-oesophageal reflux in the infant

Journal Article · Wed Nov 30 23:00:00 EST 1983 · J. Radiol.; (United States)

OSTI ID:6879813

Le Luyer, B; Texte, D; Mallet, E; Menibus, C.H. de ^[1]; Dewald, M ^[2]; Segond, G; Chauman, J; Noel, J P ^[3]

---

1. Departement de Pediatrie
2. Service de Radiologie Pediatrique, Hopital Charles Nicolle, 76 - Rouen (France)
3. Departement de Medecine Nucleaire, Centre Henri Becquerel, 76 - Rouen (France)

50 children with a strong clinical suspicion of gastroesophageal reflux and 10 control patients were evaluated with gastroesophageal scintiscans. 500 ..mu..Ci a 1 mCi of Tc sulfur colloid mixed the patients' routine milk or formula feeding was administred and serial images of the abdomen and thorax were obtained. A positive scintiscan was found in 35 patients (sensitivity 70%) and none of the controls (specificity 100%). A comparison of findings in 34 patients refered for both radiographic and radionucleide studies showed that barium studies were positive in 38% and radionucleide in 64.7%. We found this examination to be more sensitive that the standard barium radiography particularly in patients with respiratory symptoms. We concluded that the GE scintiscan is complementary to barium studies in the diagnosis of GE reflux. Pulmonary aspiration of gastric contents was detected in only a case of the 35 patients with documented GE reflux. A T1/2 emptying gastric longer than 90 minutes (linear calculation) or 105 minutes (exponential calculation) is an indirect GE reflux test. This procedure is simple, safe more physiologic than other available examinations.

• OSTI ID: 6879813
• Journal Information: J. Radiol.; (United States), Journal Name: J. Radiol.; (United States) Vol. 64:12; ISSN JRADA
• Country of Publication: United States
• Language: French

Related Subjects

550601* -- Medicine-- Unsealed Radionuclides in Diagnostics
62 RADIOLOGY AND NUCLEAR MEDICINE
AGE GROUPS
BETA DECAY RADIOISOTOPES
BETA-MINUS DECAY RADIOISOTOPES
CHILDREN
COLLOIDS
COUNTING TECHNIQUES
DIAGNOSTIC TECHNIQUES
DIAGNOSTIC USES
DIGESTIVE SYSTEM
DISPERSIONS
DRUGS
DYNAMIC FUNCTION STUDIES
HOURS LIVING RADIOISOTOPES
INFANTS
INTERMEDIATE MASS NUCLEI
ISOMERIC TRANSITION ISOTOPES
ISOTOPES
LABELLED COMPOUNDS
NUCLEI
ODD-EVEN NUCLEI
RADIOISOTOPE SCANNING
RADIOISOTOPES
RADIOPHARMACEUTICALS
SCINTISCANNING
SENSITIVITY
SEQUENTIAL SCANNING
SPECIFICITY
TECHNETIUM 99
TECHNETIUM ISOTOPES
USES
YEARS LIVING RADIOISOTOPES