Meliha KORKMAZ, Gökhan KOCA, Eda Özge YAZGAN, Nur AYDINBELGE, Aylin AKBULUT, Koray DEMİREL

İNFANTLARDA VE ÇOCUKLARDA GASTROÖZEFAGİAL REFLÜ HASTALIĞININ GASTOÖZEFAGİAL REFLÜ SİNTİGRAFİSİ İLE DEĞERLENDİRİLMESİ

Amaç: Bölümümüze gastroözefagial reflü hastalığı şüphesiyle gastroözefagial reflü sintigrafisi (GERS) için refere edilmiş infantlarda ve çocuklarda gastroözefagial reflü varlığının yanı sıra ilk reflü zamanı, reflü epi- sodu sayısı, reflü indeksi (RI), gastrik boşalma yüzdesi, ve gastrik boşalma yarı zamanını retrospektif olarak değerlendirmeyi amaçladık. Gereç-Yöntemler: 2007-2019 Yılları arasında GERS çekilmiş infantların ve çocukların verileri tekrar değer- lendirildi. Tüm hastalarin dinamik GERS görüntüleri öncelikle vizüel olarak değerlendirildi. Sonrasında öze- fagus, mide ve gastrointestinal sistem dışı alanlara çizilen belli alanların, alınan tüm görüntüler üzerine eklenmesi ile zaman-radyoaktivite değişim grafikleri oluşturuldu (Figür 1). Elde edilen veriler istatistiksel olarak değerlendirildi. Bulgular: Toplam 208 çocuk hastanın %38.5’i reflü pozitif (80/208) olarak değerlendirildi. Hastalar reflü episodu sayısına göre sınıflandırıldılar. Reflü sınıfı ile gastrik boşalma yarı zamanı arasında pozitif korelas- yon (p

Gastroesophageal Reflux Disease Evaluation by Gastroesophageal Reflux Scintigraphy in Infants and in Children

Aim: Our goal was to evaluate the gastric emptying time in either reflux positive and negative children; andalso the first reflux time, the number of reflux episodes in scintigraphy, reflux index (RI), and gastric emptyinghalf time for liquids in infants and in children who were referred to our department for gastroesophagealreflux scintigraphy (GERS) with suspicion of gastroesophageal reflux disease (GERD).Material and Methods: Dynamic GERS images were first evaluated visually and then regions of interests(ROI) were drawn on esophagus, stomach and background. Time-activity curves were generated andobtained values were statistically evaluated.Results: Among 208 patients 38.5 % of the patients were reflux positive (80/208). There was a positivecorrelation between degree of reflux and gastric emptying half‐time (p

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