Thoracic stomach: comparative evaluation of endoscopy, gastric aspirate analysis and hepatobiliary scintigraphy in the diagnosis of duodeno-gastric reflux.
Twenty patients with thoracic stomach were subjected to hepatobiliary scintigraphy for the diagnosis of duodenogastric reflux. The results of the radionuclide studies were correlated with those of endoscopy and biochemical estimation of total intragastric bile acid. Hepatobiliary scintigraphy was found to be more sensitive (91.6%) and accurate (95%) than endoscopy (25% and 55% respectively) and biochemical estimation of total intragastric bile acid content (66.6% and 80% respectively). Being noninvasive and physiological, radionuclide study appears suitable for routine clinical use in the diagnosis of duodeno-gastric reflux.
Padhy
A K
AK
Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi.
Losu
V
V
Shukla
N K
NK
Chattopadhyaya
T K
TK
Tandon
R K
RK
Gupta
K
K
Gopinath
P G
PG
D000293:Adolescent; D000328:Adult; D000368:Aged; D001647:Bile Acids and Salts / Q000032:analysis; D001652:Bile Ducts / Q000000981:diagnostic imaging; D002648:Child; D002675:Child, Preschool; D004383:Duodenogastric Reflux / Q000175:diagnosis* / Q000000981:diagnostic imaging*; D016099:Endoscopy, Gastrointestinal; D004947:Esophagus / Q000601:surgery*; D005260:Female; D005750:Gastric Juice / Q000737:chemistry; D006801:Humans; D007098:Imino Acids; D007223:Infant; D008099:Liver / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D015609:Organotechnetium Compounds; D011183:Postoperative Complications; D011877:Radionuclide Imaging; D012680:Sensitivity and Specificity
D001647:Bile Acids and Salts; D007098:Imino Acids; D015609:Organotechnetium Compounds; C046767:technetium Tc 99m iminodiacetic acid