Maurer Alan H
Nuclear Medicine and Molecular Imaging, Temple University Hospital and School of Medicine, Philadelphia, Pennsylvania
J Nucl Med Technol. 2016 Mar;44(1):1-11. doi: 10.2967/jnumed.112.114314.
Although not as well standardized as gastric emptying (GE) scintigraphy, esophageal transit scintigraphy, if performed in a comprehensive manner including both quantitative and qualitative analysis of single- and multiple-swallow studies, is clinically useful when expertise in esophageal manometry is not available or not tolerated and when esophageal manometry or barium videofluoroscopy results are equivocal or nondiagnostic. GE scintigraphy has undergone much-needed standardization. Both solid and liquid GE studies play an important role in assessing patients with upper gastrointestinal symptoms. Because measurement of simple total GE is often not sufficient to explain patient symptoms, there is a need to expand the analysis of GE scintigraphy to include the separate roles of the fundus and antrum and to include the complex interactions the stomach has with other organ systems.
尽管食管通过闪烁扫描术不像胃排空（GE）闪烁扫描术那样标准化，但如果以全面的方式进行，包括对单次吞咽和多次吞咽研究进行定量和定性分析，那么在无法获得或患者无法耐受食管测压专业知识，以及食管测压或钡剂视频荧光检查结果不明确或无法诊断时，食管通过闪烁扫描术在临床上是有用的。GE闪烁扫描术已经进行了急需的标准化。固体和液体GE研究在评估上消化道症状患者中都发挥着重要作用。由于单纯测量总的GE往往不足以解释患者的症状，因此有必要扩大对GE闪烁扫描术的分析，以包括胃底和胃窦的单独作用，并包括胃与其他器官系统之间的复杂相互作用。
