PMID: 2506325Sep 1, 1989Paper

Functional assessment of colonic interposition with 99Tcm-labeled milk

Journal of Pediatric Surgery
R SuttonN V Freeman

Abstract

A prospective study was performed to evaluate the use of radionuclide imaging in the assessment of patients who have undergone esophageal reconstruction. Dynamic radionuclide imaging was performed on ten patients aged 11 months to 11 years who had undergone colon interposition via the normal esophageal route for esophageal atresia. Patients were considered clinically unsatisfactory if at the time of imaging feeding was troubled, or if weight gain had fallen to below the third centile before operation and remained below after operation. Each patient underwent erect imaging with a small milk feed labeled with 10 to 20 MBq (250 to 500 muCi) 99Tcm DTPA adjusted according to body surface area; supine studies were subsequently performed on five patients. All five clinically unsatisfactory patients showed conduit emptying delayed beyond 45 minutes and/or spontaneous reflux, significantly different from the clinically satisfactory patients (X2 = 6.4, P less than .02). Conduit complications were subsequently identified in three of the five clinically unsatisfactory patients. Radionuclide imaging with radiolabeled milk was found to be well tolerated, and obtained results that were clinically useful. These results suggest that dynamic rad...Continue Reading

References

Oct 1, 1977·Annals of Surgery·M B OrringerH Sloan
Feb 1, 1976·Annals of Surgery·J ClarkD B Skinner
Jan 1, 1977·The American Journal of Digestive Diseases·E CorazziariC Ricci
Jan 1, 1973·Annals of Surgery·E L JonesG D Zuidema
Dec 1, 1971·Journal of Pediatric Surgery·M SchillerE T Boles
Jan 1, 1967·The Journal of Thoracic and Cardiovascular Surgery·H B Othersen, H W Clatworthy
Dec 1, 1983·The Annals of Thoracic Surgery·W E Neville, A Z Najem
Feb 1, 1982·Journal of Pediatric Surgery·N V Freeman, D T Cass

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Citations

Oct 15, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Ambrose Chung-Wai HoHung-Chi Chen
Apr 14, 2005·Pediatric Surgery International·N M A Bax, K M Van Renterghem
Aug 1, 1993·Journal of Pediatric Surgery·E L CusickR D Spicer
Dec 4, 2003·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·K KalmárO P Horváth

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