PMID: 6107770Nov 29, 1980Paper

Non-invasive estimation of duodenogastric reflux using technetium-99m p-butyl-iminodiacetic acid

Lancet
I MuhammedT V Taylor

Abstract

Post-gastrectomy symptoms of dyspepsia, epigastric pain, nausea, and bilious vomiting have been ascribed to duodenogastric reflux. A noninvasive method, using the radiopharmaceutical technetium-99m p-butyl-iminodiacetic acid, has been developed to observe biliary excretion scintigraphically and to monitor its excretion. 10 controls and 45 patients after stomach operations were given the radiopharmaceutical intravenously and were scanned every 5 min for an hour, after which the site of the stomach was determined by asking the patient to drink technetium-99m in solution. Reflux was noted in 1 control, in 4 of 13 patients after highly selective vagotomy, in 8 of 17 patients following truncal vagotomy and pyloroplasty, and in all of 15 patients after gastrectomy. The mean quantities of reflux in these four groups were 5%, 3.75%, 12.4%, and 44%, respectively. The study confirms that post-gastrectomy patients are more prone to enterogastric reflux and suggests that this form of scintigraphy may produce valuable clinical information.

References

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Citations

Feb 1, 1995·Digestive Diseases and Sciences·R F McCloyA Walan
Dec 19, 2002·American Journal of Surgery·Anastasia StavrakaEvangelia Vlontzou
Jun 1, 1983·Gut·R C Heading
Mar 1, 1993·The British Journal of Surgery·T K ChattopadhyayA Kumar
Apr 1, 1986·The British Journal of Surgery·P W HoughtonE R Davies
Apr 1, 1990·The British Journal of Surgery·J A Luján MompeánD Martínez Gomez
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Aug 1, 1983·Clinical Physics and Physiological Measurement : an Official Journal of the Hospital Physicists' Association, Deutsche Gesellschaft Für Medizinische Physik and the European Federation of Organisations for Medical Physics·I A Eyre-BrookA G Johnson

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