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胃切除术后胃食管反流的闪烁显像评估

Scintigraphic evaluation of gastroesophageal reflux following gastrectomy.

作者信息

Fujiwara Y, Hashimoto N, Nakagawa K, Kusunoki T, Utsunomiya J

机构信息

Second Department of Surgery, Hyogo College of Medicine.

出版信息

Hepatogastroenterology. 1993 Jun;40(3):262-6.

PMID:8325592
Abstract

We used scintigraphy to detect and quantify gastro-esophageal reflux, and determined the sensitivity of this method for identifying patients with clinical symptoms and/or endoscopic evidence of reflux. Thirty gastrectomy patients with heartburn and regurgitation, and 8 healthy controls were studied. The gastro-esophageal reflux index, calculated from imaging data, correlated significantly with the symptom score of the subjects, and the index was significantly larger in the symptomatic patients group (7.07 +/- 1.21) than in the healthy control group (1.54 +/- 0.22) (p < 0.001). Our study suggests that scintiscanning is capable of detecting gastro-esophageal reflux accurately, rapidly, noninvasively, and with a high degree of sensitivity. In addition, scintiscanning can be employed to quantify reflux in gastrectomy patients.

摘要

我们采用闪烁扫描法检测并量化胃食管反流,并确定该方法对识别有临床症状和/或反流内镜证据患者的敏感性。研究了30例有烧心和反流症状的胃切除患者以及8名健康对照者。根据影像数据计算出的胃食管反流指数与受试者的症状评分显著相关,且该指数在有症状患者组(7.07±1.21)显著高于健康对照组(1.54±0.22)(p<0.001)。我们的研究表明,闪烁扫描能够准确、快速、无创且高度灵敏地检测胃食管反流。此外,闪烁扫描可用于量化胃切除患者的反流情况。

相似文献

1
Scintigraphic evaluation of gastroesophageal reflux following gastrectomy.胃切除术后胃食管反流的闪烁显像评估
Hepatogastroenterology. 1993 Jun;40(3):262-6.
2
Gastroesophageal scintigraphy following gastrectomy: comparison to endoscopy and esophageal biopsy.胃切除术后的胃食管闪烁扫描术:与内镜检查和食管活检的比较
Am J Gastroenterol. 1993 Aug;88(8):1233-6.
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Relationship between gastroesophageal reflux and gastric emptying after distal gastrectomy.远端胃切除术后胃食管反流与胃排空之间的关系。
Am J Gastroenterol. 1996 Jan;91(1):75-9.
4
[Functional scintigraphy in the diagnosis of gastroesophageal reflux (author's transl)].
Z Gastroenterol. 1978 Apr;16(4):235-42.
5
A study of esophageal reflux following total gastrectomy with hepatobiliary sequential scintigraphy using TC-99m DISIDA.一项使用锝-99m二异丙基乙酰胺(DISIDA)进行肝胆顺序闪烁扫描术对全胃切除术后食管反流情况的研究。
Ital J Surg Sci. 1986;16(1):17-22.
6
[Detection of reflux esophagitis following gastrectomy using cholescintigraphy].
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[Nuclear medicine demonstration of esophageal bile reflux].[食管胆汁反流的核医学显示]
Nuklearmedizin. 1985 Feb;24(1):35-8.
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Gastroesophageal reflux and transit scintigraphy: a comparison with esophageal biopsy in patients with heartburn.胃食管反流与转运闪烁扫描:与烧心患者食管活检的比较
J Can Assoc Radiol. 1984 Jun;35(2):124-7.
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