EZOPHAGOSCYNTYGRAPHIA IN DIAGNOSTIC ASSESSMENT OF EZOPHAGOS

Summary. This article presents the results of esofagus scintigraphy in 98 patients with different pathology of upper gastrointestinal tract : 48 men and 50 women aged from 14 to 64 years. Half of them, mainly with functional dyspepsia (FD) (18.4%), was showed slow passage of the radiopharmaceutical preparation (RPHP) through the esophagus, accompanied by a decrease in its clearance of up to 60%. Narrowing of the esophagus and local suprastenostic delay of RPHP > 12 sec was observed in 29.6% of patients: with Mts in hilar lymphatic nodes (HLN) with esophageal varices (EV) and esophageal cancer (EC). In 3 patients with Mts in HLN RPHP was delayed > 20 sec with a deviation of the esophagus to the left on the border of the upper and middle thirds. Gastroesophageal reflux disease was diagnosed in 53 studied: with ulcer disease (20.4%) with a functional dyspepsia (FD) (19.4%) with chronic gastritis (7.2%), with cholecystitis (5.7%) and two with esophageal and stomach cancer. Scintigraphic signs of gastroesophageal reflux were antiphase change of curves on the definition of the second study, in excess of its activity for more than 5% of the activity of the stomach, it was considered pathological.