Enterogastric reflux after various types of antiulcer gastric surgery: quantitation by 99mTc-HIDA scintigraphy.
In 28 controls and 142 patients subjected to a variety of antiulcer procedures, the enterogastric reflux (EGR) was quantitated by 99mTc-HIDA scintigraphy and expressed as the EGR index on 229 different occasions. The EGR index was calculated according to two different formulas: one based on the maximal radioactivity over the gastric area as a percentage value of the total abdominal activity (EGR-Im) and the other based on the relative maximal radioactivity over the gastric area as a percentage value of the relative hepatobiliary activity (EGR-It). There was a significant positive correlation of values between the two methods (P less than 0.0001). In patients with an EGR-Im greater than 20% or EGR-It greater than 57% and postgastric surgery symptoms some of the symptoms were attributed to EGR, an antireflux procedure is expected to relieve those symptoms. Sixteen of these patients underwent Roux-en-Y gastrectomy and their preoperative symptoms were relieved.
Xynos
E
E
Second Surgical Department, Athens Naval Hospital, Greece.
Vassilakis
J S
JS
Fountos
A
A
Pechlivanides
G
G
Karkavitsas
N
N
D004381:Duodenal Ulcer / Q000601:surgery; D004383:Duodenogastric Reflux / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000209:etiology; D005260:Female; D005756:Gastritis / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000209:etiology; D006801:Humans; D007098:Imino Acids; D008297:Male; D008875:Middle Aged; D015609:Organotechnetium Compounds; D011178:Postgastrectomy Syndromes / Q000000981:diagnostic imaging* / Q000453:epidemiology; D011877:Radionuclide Imaging; D013270:Stomach / Q000000981:diagnostic imaging; D019780:Technetium Tc 99m Lidofenin; D014629:Vagotomy, Proximal Gastric / Q000009:adverse effects; D015167:Vagotomy, Truncal / Q000009:adverse effects
D007098:Imino Acids; D015609:Organotechnetium Compounds; D019780:Technetium Tc 99m Lidofenin