The gastroesophageal scintiscan. Comparison of methods to demonstrate gastroesophageal reflux

Archives of Surgery
G C Hoffman, J H Vansant

Abstract

The gastroesophageal (GE) scintiscan method of detecting GE reflux was evaluated in a series of 54 patients. Twenty-nine patients had evidence of GE reflux by fluoroscopically monitored barium swallow, esophagogastroscopy, or esophageal biopsy. The pH reflux study showed pathological reflux in four patients. The GE scintiscan demonstrated reflux in only four of these 29 patients. Although the GE scintiscan is a safe, noninvasive technique, in our experience, GE reflux was demonstrated only in those patients in whom reflux was easily verified by barium swallow, esophagoscopy, or esophageal mucosal biopsy. This study indicates that the GE scintiscan, like the pH reflux study, is too insersitive to be of consistent value in the diagnosis of GE reflux.

References

May 1, 1987·Clinical Radiology·R J SellarR C Heading
Nov 1, 1984·Digestive Diseases and Sciences·N VelascoL D Hill
Mar 1, 1995·Baillière's Clinical Gastroenterology·A H Maurer, R S Fisher
Jan 1, 1987·Scandinavian Journal of Gastroenterology·G KjellénS Sandström
Apr 1, 1995·Seminars in Nuclear Medicine·A Piepsz
Jan 1, 1981·Clinical Pediatrics·M Weissbluth

Related Concepts

Gastroscopic Surgical Procedures
Biopsy of Esophagus
Tonometry
Esophagoscopy
Study, Methodological
Esophageal Diseases
Scintiphotography
Fluoroscopy
Gastroesophageal Reflux Disease
Gastroesophageal

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