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Comparison of Methods to Demonstrate Gastroesophageal Reflux

George C. Hoffman, MD, FRCS; John H. Vansant, MD, MS

Arch Surg. 1979;114(6):727-728.

Abstract
• The gastroesophageal (GE) scintiscan method of detecting GE reflux was evaluated in a series of 54 patients. Twenty-nine patients had evidence of GE reflux by fluoroscopically monitored barium swallow, esophagogastroscopy, or esophageal biopsy. The pH reflux study showed pathological reflux in four patients. The GE scintiscan demonstrated reflux in only four of these 29 patients. Although the GE scintiscan is a safe, noninvasive technique, in our experience, GE reflux was demonstrated only in those patients in whom reflux was easily verified by barium swallow, esophagoscopy, or esophageal mucosal biopsy. This study indicates that the GE scintiscan, like the pH reflux study, is too insensitive to be of consistent value in the diagnosis of GE reflux.

(Arch Surg 114:727-728, 1979)

Author Affiliations
From the Department of Surgery, Eastern Virginia Medical School, Norfolk.

Footnotes
Accepted for publication Feb 5, 1979.

Reprint requests to Norfolk Surgical Group, Doctors Clinic Center, 844 Kempsville Rd, Norfolk, VA 23502 (Dr Vansant).

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