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

  • Asha Sarma
  • Frederick D. Grant
  • Neha S. Kwatra
Pictorial Essay

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.

Keywords

Children Esophageal transit scintigraphy Esophagus Motility disorder Nuclear medicine 

Notes

Compliance with ethical standards

Conflicts of interest

None

References

  1. 1.
    Walzer N, Hirano I (2008) Achalasia. Gastroenterol Clin N Am 37:807–825 viiiCrossRefGoogle Scholar
  2. 2.
    Kazem I (1972) A new scintigraphic technique for the study of the esophagus. Am J Roentgenol Radium Ther Nucl Med 115:681–688Google Scholar
  3. 3.
    Maurer AH (2015) Gastrointestinal motility, part 1: esophageal transit and gastric emptying. J Nucl Med 56:1229–1238PubMedGoogle Scholar
  4. 4.
    Adler DG, Romero Y (2001) Primary esophageal motility disorders. Mayo Clin Proc 76:195–200CrossRefPubMedGoogle Scholar
  5. 5.
    Jorgensen F, Hesse B, Tromholt N et al (1992) Esophageal scintigraphy: reproducibility and normal ranges. J Nucl Med 33:2106–2109PubMedGoogle Scholar
  6. 6.
    Paterson WG, Goyal RK, Habib FI (2006) Esophageal motility disorders. GI Motility online.  https://doi.org/10.1038/gimo20
  7. 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 41:1355–1368CrossRefPubMedGoogle Scholar
  8. 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 203–234CrossRefGoogle Scholar
  9. 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 33:1291–1300PubMedGoogle Scholar
  10. 10.
    de Caestecker JS, Blackwell JN, Adam RD et al (1986) Clinical value of radionuclide oesophageal transit measurement. Gut 27:659–666CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Guillet J, Wynchank S, Basse-Cathalinat B et al (1983) Pediatric esophageal scintigraphy. Results of 200 studies. Clin Nucl Med 8:427–433CrossRefPubMedGoogle Scholar
  12. 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 43:1108–1116CrossRefPubMedGoogle Scholar
  13. 13.
    Mariani G, Boni G, Barreca M et al (2004) Radionuclide gastroesophageal motor studies. J Nucl Med 45:1004–1028PubMedGoogle Scholar
  14. 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. 15.
    Lamki L (1985) Radionuclide esophageal transit (RET) study. The effect of body posture. Clin Nucl Med 10:108–110CrossRefPubMedGoogle Scholar
  16. 16.
    Park W, Vaezi MF (2005) Etiology and pathogenesis of achalasia: the current understanding. Am J Gastroenterol 100:1404–1414CrossRefPubMedGoogle Scholar
  17. 17.
    Franklin AL, Petrosyan M, Kane TD (2014) Childhood achalasia: a comprehensive review of disease, diagnosis and therapeutic management. World J Gastrointest Endosc 6:105–111CrossRefPubMedPubMedCentralGoogle Scholar
  18. 18.
    McKinney MK, Brady CE 3rd, Weiland FL (1983) Radionuclide esophageal transit: an evaluation of therapy in achalasia. South Med J 76:1136–1138CrossRefPubMedGoogle Scholar
  19. 19.
    Grubel C, Borovicka J, Schwizer W et al (2008) Diffuse esophageal spasm. Am J Gastroenterol 103:450–457CrossRefPubMedGoogle Scholar
  20. 20.
    Korsapati H, Bhargava V, Mittal RK (2008) Reversal of asynchrony between circular and longitudinal muscle contraction in nutcracker esophagus by atropine. Gastroenterology 135:796–802CrossRefPubMedGoogle Scholar
  21. 21.
    Rosen JM, Lavenbarg T, Cocjin J, Hyman PE (2013) Diffuse esophageal spasm in children referred for manometry. J Pediatr Gastroenterol Nutr 56:436–438CrossRefPubMedGoogle Scholar
  22. 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 21:927–935CrossRefPubMedGoogle Scholar
  23. 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 26:476–480PubMedGoogle Scholar
  24. 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 30:365–366CrossRefPubMedGoogle Scholar
  25. 25.
    Dunn EK, Man AC, Lin K et al (1983) Scintigraphic demonstration of tracheo-esophageal fistula. J Nucl Med 24:1151–1154PubMedGoogle Scholar
  26. 26.
    Cadranel S, Di Lorenzo C, Rodesch P et al (1990) Caustic ingestion and esophageal function. J Pediatr Gastroenterol Nutr 10:164–168CrossRefPubMedGoogle Scholar
  27. 27.
    Chen JH (2016) Ineffective esophageal motility and the vagus: current challenges and future prospects. Clin Exp Gastroenterol 9:291–299CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Radiology, Harvard Medical SchoolBoston Children’s HospitalBostonUSA

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