Spandorfer Robert M, Zhu Yin, Mekaroonkamol Parit, Galt James, Halkar Raghuveer, Cai Qiang
Division of Digestive Diseases, Emory University School of Medicine, 1365 Clifton Road, B1262, Atlanta, GA 30322, USA.
Department of Gastroenterology, First Affiliated Hospital of Nanchang University, No. 17 Yongwaizheng Street, Nanchang City, Jiangxi 330039, China.
Gastrointest Endosc Clin N Am. 2019 Jan;29(1):127-137. doi: 10.1016/j.giec.2018.08.014.
Gastric emptying scintigraphy (GES) helps to diagnose gastroparesis and is typically only used for whole stomach retention patterns. However, it may provide significantly more information when looking specifically at proximal and distal retention patterns. This article reviews global GES changes following gastric per oral endoscopic myotomy; how global, proximal, and distal GES measurements correlate to gastroparesis symptoms; and how proximal and distal GES may serve as proxies for the various mechanisms involved in gastroparesis. The authors' data on how GES may be used to select which patients will have success from G-POEM is also reviewed.
胃排空闪烁扫描术（GES）有助于诊断胃轻瘫，通常仅用于全胃潴留模式。然而，在专门观察近端和远端潴留模式时，它可能会提供更多显著信息。本文回顾了经口内镜下胃肌切开术后GES的整体变化；整体、近端和远端GES测量值与胃轻瘫症状的相关性；以及近端和远端GES如何作为胃轻瘫相关各种机制的替代指标。还回顾了作者关于如何利用GES来选择哪些患者将从经口内镜下胃肌切开术（G-POEM）中取得成功的数据。
