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Esophageal transit scintigraphy in children: a user’s guide and pictorial review

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Abstract

Technical and clinical aspects of esophageal transit scintigraphy in pediatric patients are reviewed via several illustrative cases that highlight its utility in evaluating primary and secondary esophageal motility disorders.

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References

  1. Walzer N, Hirano I (2008) Achalasia. Gastroenterol Clin N Am 37:807–825 viii

    Article  Google Scholar 

  2. Kazem I (1972) A new scintigraphic technique for the study of the esophagus. Am J Roentgenol Radium Ther Nucl Med 115:681–688

  3. Maurer AH (2015) Gastrointestinal motility, part 1: esophageal transit and gastric emptying. J Nucl Med 56:1229–1238

    CAS  PubMed  Google Scholar 

  4. Adler DG, Romero Y (2001) Primary esophageal motility disorders. Mayo Clin Proc 76:195–200

    Article  CAS  PubMed  Google Scholar 

  5. Jorgensen F, Hesse B, Tromholt N et al (1992) Esophageal scintigraphy: reproducibility and normal ranges. J Nucl Med 33:2106–2109

    CAS  PubMed  Google Scholar 

  6. Paterson WG, Goyal RK, Habib FI (2006) Esophageal motility disorders. GI Motility online. https://doi.org/10.1038/gimo20

  7. Parkman HP, Maurer AH, Caroline DF et al (1996) Optimal evaluation of patients with nonobstructive esophageal dysphagia. Manometry, scintigraphy, or videoesophagography? Dig Dis Sci 41:1355–1368

    Article  CAS  PubMed  Google Scholar 

  8. Bar-Sever Z (2014) Gastroesophageal reflux, gastric emptying, esophageal transit, and pulmonary aspiration. In: Treves ST (ed) Pediatric nuclear medicine and molecular imaging. Springer-Verlag, New York, pp 203–234

    Chapter  Google Scholar 

  9. Tatsch K, Voderholzer WA, Weiss MJ et al (1992) Simultaneous assessment of bolus transport and contraction parameters in multiple-swallow investigations. J Nucl Med 33:1291–1300

    CAS  PubMed  Google Scholar 

  10. de Caestecker JS, Blackwell JN, Adam RD et al (1986) Clinical value of radionuclide oesophageal transit measurement. Gut 27:659–666

    Article  PubMed  PubMed Central  Google Scholar 

  11. Guillet J, Wynchank S, Basse-Cathalinat B et al (1983) Pediatric esophageal scintigraphy. Results of 200 studies. Clin Nucl Med 8:427–433

    Article  CAS  PubMed  Google Scholar 

  12. Emigh B, Gordon CL, Connolly BL et al (2013) Effective dose estimation for pediatric upper gastrointestinal examinations using an anthropomorphic phantom set and metal oxide semiconductor field-effect transistor (MOSFET) technology. Pediatr Radiol 43:1108–1116

    Article  PubMed  Google Scholar 

  13. Mariani G, Boni G, Barreca M et al (2004) Radionuclide gastroesophageal motor studies. J Nucl Med 45:1004–1028

    PubMed  Google Scholar 

  14. American College of Radiology, Society of Nuclear Medicine and Society of Pediatric Radiology (2010) ACR-SNM-SPR practice guideline for the performance of gastrointestinal scintigraphy. Society for Nuclear Medicine and Molecular Imaging Procedure Standards. http://snmmi.files.cms-plus.com/docs/GI_Scintigraphy_1382731852503_4.pdf. Accessed 29 September 2018

  15. Lamki L (1985) Radionuclide esophageal transit (RET) study. The effect of body posture. Clin Nucl Med 10:108–110

    Article  CAS  PubMed  Google Scholar 

  16. Park W, Vaezi MF (2005) Etiology and pathogenesis of achalasia: the current understanding. Am J Gastroenterol 100:1404–1414

    Article  PubMed  Google Scholar 

  17. Franklin AL, Petrosyan M, Kane TD (2014) Childhood achalasia: a comprehensive review of disease, diagnosis and therapeutic management. World J Gastrointest Endosc 6:105–111

    Article  PubMed  PubMed Central  Google Scholar 

  18. McKinney MK, Brady CE 3rd, Weiland FL (1983) Radionuclide esophageal transit: an evaluation of therapy in achalasia. South Med J 76:1136–1138

    Article  CAS  PubMed  Google Scholar 

  19. Grubel C, Borovicka J, Schwizer W et al (2008) Diffuse esophageal spasm. Am J Gastroenterol 103:450–457

    Article  PubMed  Google Scholar 

  20. Korsapati H, Bhargava V, Mittal RK (2008) Reversal of asynchrony between circular and longitudinal muscle contraction in nutcracker esophagus by atropine. Gastroenterology 135:796–802

    Article  CAS  PubMed  Google Scholar 

  21. Rosen JM, Lavenbarg T, Cocjin J, Hyman PE (2013) Diffuse esophageal spasm in children referred for manometry. J Pediatr Gastroenterol Nutr 56:436–438

    Article  PubMed  Google Scholar 

  22. Friedmacher F, Kroneis B, Huber-Zeyringer A et al (2017) Postoperative complications and functional outcome after esophageal atresia repair: results from longitudinal single-center follow-up. J Gastrointest Surg 21:927–935

    Article  PubMed  Google Scholar 

  23. Acher CW, Ostlie DJ, Leys CM et al (2016) Long-term outcomes of patients with tracheoesophageal fistula/esophageal atresia: survey results from tracheoesophageal fistula/esophageal atresia online communities. Eur J Pediatr Surg 26:476–480

    PubMed  Google Scholar 

  24. Kaya M, Inan M, Bedel D (2005) Detection of tracheoesophageal fistula caused by ingestion of a caustic substance by esophageal scintigraphy. Clin Nucl Med 30:365–366

    Article  PubMed  Google Scholar 

  25. Dunn EK, Man AC, Lin K et al (1983) Scintigraphic demonstration of tracheo-esophageal fistula. J Nucl Med 24:1151–1154

    CAS  PubMed  Google Scholar 

  26. Cadranel S, Di Lorenzo C, Rodesch P et al (1990) Caustic ingestion and esophageal function. J Pediatr Gastroenterol Nutr 10:164–168

    Article  CAS  PubMed  Google Scholar 

  27. Chen JH (2016) Ineffective esophageal motility and the vagus: current challenges and future prospects. Clin Exp Gastroenterol 9:291–299

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to Neha S. Kwatra.

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Sarma, A., Grant, F.D. & Kwatra, N.S. Esophageal transit scintigraphy in children: a user’s guide and pictorial review. Pediatr Radiol 49, 663–677 (2019). https://doi.org/10.1007/s00247-018-4301-y

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  • DOI: https://doi.org/10.1007/s00247-018-4301-y

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