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Gastric Emptying Scintigraphy: Beyond Numbers – An Observational Study to Differentiate between Various Etiologies and a Step toward Personalized Management
AIM: Gastric emptying (GE) scintigraphy is commonly used as a standard diagnostic procedure for the assessment of functional dyspepsia (FD). Results of the study are often reported as either normal or delayed GE times. The aim of this study was to recognize various patterns of scintigraphy among bot...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6593947/ https://www.ncbi.nlm.nih.gov/pubmed/31293297 http://dx.doi.org/10.4103/ijnm.IJNM_55_19 |
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author | Ora, Manish Nazar, Aftab Hasan Parashar, Ashutosh Kheruka, Subhash Gambhir, Sanjay |
author_facet | Ora, Manish Nazar, Aftab Hasan Parashar, Ashutosh Kheruka, Subhash Gambhir, Sanjay |
author_sort | Ora, Manish |
collection | PubMed |
description | AIM: Gastric emptying (GE) scintigraphy is commonly used as a standard diagnostic procedure for the assessment of functional dyspepsia (FD). Results of the study are often reported as either normal or delayed GE times. The aim of this study was to recognize various patterns of scintigraphy among both normal and abnormal emptying times. MATERIALS AND METHODS: Fifty patients with suspected FD were included in the study. GE study was performed with a standardized vegetarian solid meal. RESULTS: Out of 50 patients, 33 patients had deranged GE. Thirty patients had delayed GE. Three patients demonstrated gastric hurrying. Five different patterns were demonstrated in patients having similar emptying and retention times such as reduced fundus compliance, decreased fundic accommodation, antral dysmotility, gastric hurrying, and gastroesophageal reflux. CONCLUSION: According to our findings, it may be suggested that visual assessment of GE and identification of various pattern is a very important aspect of the GE study. It not only subcategorized patients but also decreases the number of “normal” studies. This finding may have an impact on patient management in the era of personalized medicine. |
format | Online Article Text |
id | pubmed-6593947 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-65939472019-07-11 Gastric Emptying Scintigraphy: Beyond Numbers – An Observational Study to Differentiate between Various Etiologies and a Step toward Personalized Management Ora, Manish Nazar, Aftab Hasan Parashar, Ashutosh Kheruka, Subhash Gambhir, Sanjay Indian J Nucl Med Original Article AIM: Gastric emptying (GE) scintigraphy is commonly used as a standard diagnostic procedure for the assessment of functional dyspepsia (FD). Results of the study are often reported as either normal or delayed GE times. The aim of this study was to recognize various patterns of scintigraphy among both normal and abnormal emptying times. MATERIALS AND METHODS: Fifty patients with suspected FD were included in the study. GE study was performed with a standardized vegetarian solid meal. RESULTS: Out of 50 patients, 33 patients had deranged GE. Thirty patients had delayed GE. Three patients demonstrated gastric hurrying. Five different patterns were demonstrated in patients having similar emptying and retention times such as reduced fundus compliance, decreased fundic accommodation, antral dysmotility, gastric hurrying, and gastroesophageal reflux. CONCLUSION: According to our findings, it may be suggested that visual assessment of GE and identification of various pattern is a very important aspect of the GE study. It not only subcategorized patients but also decreases the number of “normal” studies. This finding may have an impact on patient management in the era of personalized medicine. Medknow Publications & Media Pvt Ltd 2019 /pmc/articles/PMC6593947/ /pubmed/31293297 http://dx.doi.org/10.4103/ijnm.IJNM_55_19 Text en Copyright: © 2019 Indian Journal of Nuclear Medicine http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Ora, Manish Nazar, Aftab Hasan Parashar, Ashutosh Kheruka, Subhash Gambhir, Sanjay Gastric Emptying Scintigraphy: Beyond Numbers – An Observational Study to Differentiate between Various Etiologies and a Step toward Personalized Management |
title | Gastric Emptying Scintigraphy: Beyond Numbers – An Observational Study to Differentiate between Various Etiologies and a Step toward Personalized Management |
title_full | Gastric Emptying Scintigraphy: Beyond Numbers – An Observational Study to Differentiate between Various Etiologies and a Step toward Personalized Management |
title_fullStr | Gastric Emptying Scintigraphy: Beyond Numbers – An Observational Study to Differentiate between Various Etiologies and a Step toward Personalized Management |
title_full_unstemmed | Gastric Emptying Scintigraphy: Beyond Numbers – An Observational Study to Differentiate between Various Etiologies and a Step toward Personalized Management |
title_short | Gastric Emptying Scintigraphy: Beyond Numbers – An Observational Study to Differentiate between Various Etiologies and a Step toward Personalized Management |
title_sort | gastric emptying scintigraphy: beyond numbers – an observational study to differentiate between various etiologies and a step toward personalized management |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6593947/ https://www.ncbi.nlm.nih.gov/pubmed/31293297 http://dx.doi.org/10.4103/ijnm.IJNM_55_19 |
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