식도 운동 질환에 있어서 동위원소 식도 통과 검사의 의의

Radionuclide Esophageal Transit Study in the Esophageal Motility Disorders

  • 최재걸 (고려대학교 의과대학 진단방사선과학교실) ;
  • 이민재 (고려대학교 의과대학 진단방사선과학교실) ;
  • 송치욱 (고려대학교 의과대학 내과학교실)
  • Choe, Jae-Gol (Department of Diagnostic Radiology, College of Medicine, Korea University) ;
  • Lee, Min-Jae (Department of Diagnostic Radiology, College of Medicine, Korea University) ;
  • Song, Chi-Wook (Department of Internal Medicine, College of Medicine, Korea University)
  • 발행 : 1993.11.15

초록

Esophageal motility was evaluated from the analysis of 10 consecutive swallows using liquid bolus containing 0.5 mCi of $^{99m}Tc$ tin colloid. We have reviewed our experience of esophageal transit study in the 20 normal volunteers and 55 patients with dysphagia that was not related to mechanical obstruction. The purpose of this study is to measure the esophageal transit in normal subjects and in patients with various esophageal motility disorders. The overall sensitivity and specificity of radionuclide esophageal transit study in detecting esophageal motor abnormality were compared with manometric results as a gold standard, which were 80% and 100% respectively. Radionuclide transit study is a safe, rapid, noninvasive test and suitable as a screening test for esophageal motor disorders.

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