Kjellén G, Andersson P, Sandström S
Scand J Gastroenterol. 1987 Jan;22(1):75-81. doi: 10.3109/00365528708991860.
Fifty consecutive patients with different esophageal symptoms were investigated with esophageal endoscopy, transit scintigraphy, and gastroesophageal (GE) scintigraphy with extra-abdominal compression. Scintigraphic findings were abnormal in 27 of those 31 patients (87%) who were classified as abnormal at endoscopy. A prolonged transit time was the commonest finding, but hiatal hernia and GE reflux were also found. However, the scintigraphic procedure showed abnormalities in 6 of 19 (31%) who were classified as normal at endoscopy. Esophageal scintigraphy is recommended as a screening test before endoscopy is decided on.
对50例有不同食管症状的连续患者进行了食管内镜检查、通过闪烁扫描法测定食管通过时间以及采用腹部外加压的胃食管(GE)闪烁扫描检查。在31例经内镜检查分类为异常的患者中,有27例(87%)闪烁扫描检查结果异常。食管通过时间延长是最常见的发现,但也发现了食管裂孔疝和胃食管反流。然而,在19例经内镜检查分类为正常的患者中,有6例(31%)闪烁扫描检查显示异常。建议在决定是否进行内镜检查之前,将食管闪烁扫描作为一项筛查试验。