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비궤양성 소화불량환자에서 99mTc - Tincolloid를 이용한 Gastric Emptying Time의 측정
Measurement of Gastric Emptying Time using 99mTc - Tincolloid in patients with Non - ulcer Dyspepsia비궤양성 소화불량환자에서 99mTc - Tincolloid를 이용한 Gastric Emptying Time의 측정
최진학(Jin Hak Choi),김영채(Young Chai Kim),이옥재(Ok Jae Lee),김건용(Kun Yong Kim),김한모(Han Mo Kim),류경렬(Kyoung Ryeol Roo),김성욱(Seong Ook Kim),정순일(Sun Il Chung)
UCI I410-ECN-0102-2009-510-004923789

Gastric motor dysfunction and concomitent gastric stasis have been implicated in the pathogenesis of non-ulcer dyspepia (NUD), but the cause-and-effect relationship is not established. In order to identify the relationship between nonspecific upper gastrointestinal symptoms and gastric emptying time in the patients with NUD, gastric emptying scan using 99mTc-tincolloid labelled chicken liver as solid test meal was performed on 20 healthy volunteers and 20 patients with NUD. The patients with NUD were subgrouped according to symptoms and the gastric emptying time of subgroups were compared. The results were as follows: The mean percentage of remnant radioisotope content in stomach is significantly high at 60 through 180 minutes after test meal in the patients with NUD, as compared with normal volunteers (p<0.01), The GET (T 1/2) was significantly delayed in patients with NUD (107.9+-17.5min), as compared with normal volunteer (90.15+-6.03min)(p<0.01). The GET was significantly delayed in the subgroup of NUD as compared with normal volunteers (p<0.01) and significantly delayed in the subgroup of dysmoltility-like dyspepsia (117.6+-22.25 min) as compared with the subgroups of ulcer-like dyspepsia (99.6+-10.25min) or reflux-like dyspepsia (103.0+-9.97 min)(p<0.01). ln conclusion, the scintigraphic measurement of gastric emptying time using radioisotope labelled solid meal is safe and convenient method to evaluate NUD. and above results suggest that delayed gastric emptying has important pathogenetic role in NUD.

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