Scintigraphy in the detection of gastrooesophageal reflux in children with caustic oesophageal burns: a comparative study with radiography and 24-h pH monitoring

dc.contributor.authorOzcan, Z
dc.contributor.authorOzcan, C
dc.contributor.authorErinc, R
dc.contributor.authorDirlik, AE
dc.contributor.authorMutaf, O
dc.date.accessioned2019-10-27T18:19:19Z
dc.date.available2019-10-27T18:19:19Z
dc.date.issued2001
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground. Caustic injury of the oesophagus not only causes luminal narrowing but is also responsible for longitudinal contraction, resulting in gastro-oesophageal reflux (GOR), which leads to failure of conventional therapy. Therefore, the development of GOR should be investigated periodically to direct appropriate management of these patients. Purpose. To determine the ability of scintigraphy to detect GOR in children with caustic oesophageal strictures in comparison with barium study and 24-h pH monitoring. Materials and methods. Seventeen children with caustic oesophageal injury underwent scintigraphy, an upper GI barium study and 24-h pH monitoring within the same week. Five patients were also investigated post-operatively for the assessment of surgical outcome after antireflux surgery. Results. On the whole, there was good correlation (r = 0.78, P < 0.001) between scintigraphy and 24-h oesophageal pH monitoring. Scintigraphy detected all but one (9/10) refluxing patients and also correctly identified all (7/7) non-refluxing patients. Barium studies demonstrated 6 out of 10 refluxing patients. There were no false-positive barium studies in non-refluxing patients. Post-operative studies demonstrated no evidence of GOR in surgically treated patients. Conclusions. Our results indicate that, by comparison with barium studies, scintigraphy is useful in the detection of GOR in cases with caustic oesophageal strictures and may be used as a screening modality for those under clinical follow-up.en_US
dc.identifier.doi10.1007/s002470100518en_US
dc.identifier.endpage741en_US
dc.identifier.issn0301-0449
dc.identifier.issue10en_US
dc.identifier.pmid11685445en_US
dc.identifier.startpage737en_US
dc.identifier.urihttps://doi.org/10.1007/s002470100518
dc.identifier.urihttps://hdl.handle.net/11454/35646
dc.identifier.volume31en_US
dc.identifier.wosWOS:000171653000010en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer-Verlagen_US
dc.relation.ispartofPediatric Radiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleScintigraphy in the detection of gastrooesophageal reflux in children with caustic oesophageal burns: a comparative study with radiography and 24-h pH monitoringen_US
dc.typeArticleen_US

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