[Scintigraphic diagnosis of Meckel's diverticulum using Tc-99m-pertechnetate].

V Valenza, M Salvatori, A Calisti, C Manzoni, C Focacci
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Abstract

Meckel's diverticulum (MD) is a well-known cause of lower gastrointestinal hemorrhage, particularly in the pediatric age group. The radionuclide 99mTc-pertechnetate has been found useful in visualizing MD which contain gastric mucosa. This test is predicated of the affinity of the isotope for the parietal cells of the gastric glands. In an attempt to evaluate the sensibility and specificity of pertechnetate, the clinical data and scintigrams of 27 patients with suspected MD were reviewed. The scintigram correctly identified MD before operation in 6 of 7 patients. The false negative study occurred in a MD without gastric mucosa.

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[Tc-99m-pertechnetate显像诊断Meckel憩室]。
梅克尔憩室(MD)是众所周知的下消化道出血的原因,特别是在儿科年龄组。放射性核素99mtc -高锝酸盐已被发现对含有胃粘膜的MD显像有用。该试验预测了同位素对胃腺壁细胞的亲和力。为了评估高锝酸盐的敏感性和特异性,我们回顾了27例疑似MD患者的临床资料和脑电图。7例患者中有6例手术前的闪烁图正确识别出MD。假阴性研究发生在没有胃粘膜的MD。
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