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Detection of Ectopic Gastric Mucosa in Meckel's Diverticulum and in Other Aberrations by Scintigraphy: II. Indications and Methods—A 10-Year Experience

University of Miami School of Medicine and Jackson Memorial Hospital, Miami, Florida
The Children's Memorial Hospital and Northwestern University Medical School, Chicago, Illinois

Correspondence: For reprints contact: George N. Sfakianakis, MD, Div. of Nuclear Medicine (D-57), Univ. of Miami School of Medicine, P.O. Box 016960, Miami, FL 33101.

ABSTRACT

Ten years' experience with pertechnetate (Tc-99m) abdominal scintigraphy has shown that the method is specifically indicated for the diagnosis and location of ectopic gastric mucosa in a Meckel's diverticulum, in enteric or gastric duplications and cysts, and in Barrett's esophagus. Careful patient preparation is essential, and sequential gamma camera imaging for 1 hr in the anterior projection is advisable, with complementary lateral, upright, and postvoiding views. Nonspecific accumulations of the tracer within tumors, intestinal obstructions, arteriovenous malformations, and the urinary tract can be recognized with the help of the clinical history and can be investigated by other tests. This approach has raised the accuracy of the method above 90%.

This article has been cited by other articles:

				R Kumar, M Tripathi, N Chandrashekar, S Agarwala, A Kumar, J B Dasan, and A Malhotra Diagnosis of ectopic gastric mucosa using 99Tcm-pertechnetate: spectrum of scintigraphic findings Br. J. Radiol., August 1, 2005; 78(932): 714 - 720. [Abstract] [Full Text] [PDF]