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The Scintigraphic Findings of Gastroesophageal Reflux in Children is Related to Body Weight?

机译:儿童胃食管反流的影像学发现与体重有关吗?

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Background: Gastroesophageal reflux disease (GERD) is the most common cause of children admissions to pediatric gastroenterology unit and affects about 30% of pediatric population. Body weight and height percentiles of children with GERD and their relationship between presence and the severity of reflux on scintigraphic images were studied. Methods: Patients who underwent reflux scintigraphy between 2005 - 2012 were retrospectively reviewed. Among 200 patients, 49 patients were involved that their ages were ranging from 0 to 18 years old and body weight and height percentiles were recorded. Accurately 37 MBq (1 mCi) 99mTc-MAA in 100 - 150 mL of milk was ingested by the patient. Presence, number, duration and level of reflux were evaluated on the dynamic images. Presences of reflux within last ten minute were also recorded. Region-of-interests were drawn on esophagus and stomach and reflux ratio (RR) was calculated. Results: The ratio of the presence of reflux which occurred within the last ten minutes was significantly higher in children with low body weight percentile. High-level reflux frequency was higher in these children than in normal’s. Presence of reflux which occurred within the last ten minutes was related with low body weight percentile. Conclusions: If reflux is shown within the last ten minutes and there is high level of reflux, the clinician should be warned about possible low body weight percentile in the future and scintigraphic study should be a guide or a reference for the assessment of more effective treatment methods.J Clin Med Res. 2014;6(1):17-20doi: http://dx.doi.org/10.4021/jocmr1636w
机译:背景:胃食管反流病(GERD)是儿童入小儿胃肠病科的最常见原因,影响约30%的小儿人口。研究了闪烁影像学上GERD患儿的体重和身高百分位数及其存在与反流严重程度之间的关系。方法:回顾性分析2005年至2012年间接受反流闪烁扫描的患者。在200名患者中,有49名患者的年龄在0至18岁之间,并记录了体重和身高百分位数。患者准确摄取了100-150 mL牛奶中的37 MBq(1 mCi)99mTc-MAA。在动态图像上评估反流的存在,数量,持续时间和水平。还记录了最后十分钟内的回流现象。在食道和胃上画出感兴趣的区域,并计算出反流比(RR)。结果:低百分位数的儿童在最近十分钟内发生反流的比例明显更高。这些孩子的高水平反流频率高于正常儿童。最近十分钟内出现的反流与体重百分数低有关。结论:如果在最近十分钟内出现反流且反流程度很高,则应在未来警告临床医生可能的低体重百分率,闪烁显像研究应作为评估更有效治疗的指南或参考方法。临床医学杂志。 2014; 6(1):17-20doi:http://dx.doi.org/10.4021/jocmr1636w

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