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ORIGINAL ARTICLE
Year : 2013  |  Volume : 28  |  Issue : 2  |  Page : 79-84

Scintigraphic scoring system for grading severity of gastro-esophageal reflux on 99mTc sulfur colloid gastro-esophageal reflux scintigraphy: A prospective study of 39 cases with pre and post treatment assessment


1 Department of Nuclear Medicine, Narayana Hrudayalaya Institute of Medical Sciences, Bangalore, Karnataka, India
2 Department of Pediatrics and Neonatology, Narayana Hrudayalaya Institute of Medical Sciences, Bangalore, Karnataka, India

Correspondence Address:
Ameya D Puranik
6, Amber Palace Apts, Chittaranjan Road, Vile Parle East, Mumbai - 400 057, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-3919.118240

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Aim: The study aimed at developing a scoring system for scintigraphic grading of gastro-esophageal reflux (GER), on gastro-esophageal reflux scintigraphy (GERS) and comparison of clinical and scintigraphic scores, pre- and post-treatment. Materials and Methods: A total of 39 cases with clinically symptomatic GER underwent 99mTc sulfur colloid GERS; scores were assigned based on the clinical and scintigraphic parameters. Post domperidone GERS was performed after completion of treatment. Follow up GERS was performed and clinical and scintigraphic parameters were compared with baseline parameters . Results: Paired t-test on pre and post domperidone treatment clinical scores showed that the decline in post-treatment scores was highly significant, with P value < 0.001. The scintigraphic scoring system had a sensitivity of 93.9% in assessing treatment response to domperidone, specificity of 83.3% i.e., 83.3% of children with no decline in scintigraphic scores show no clinical response to Domperidone. The scintigraphic scoring system had a positive predictive value of 96.9% and a negative predictive value of 71.4%. Conclusion: GERS with its quantitative parameters is a good investigation for assessing the severity of reflux and also for following children post-treatment.


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