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Gastrointestinal transit scintigraphy in chronic constipation evaluation in pediatric age; an infrequent test

J R Infante1, J I Rayo1, J Serrano1

  • 1Servicio de Medicina Nuclear, Complejo Hospitalario Universitario de Badajoz, Badajoz, España.

Revista Espanola De Medicina Nuclear E Imagen Molecular
|December 14, 2016
PubMed

Insights

Gastrointestinal transit scintigraphy is a valuable tool for diagnosing chronic constipation in children, offering accurate physiological and quantitative data. This method aids in clarifying diagnoses and guiding treatment when other tests are inconclusive.

Area of Science:

  • Pediatric Gastroenterology
  • Nuclear Medicine Imaging

Background:

  • Chronic constipation affects many children, often requiring advanced diagnostic methods.
  • Gastrointestinal transit scintigraphy offers a unique approach to evaluating bowel motility.

Observation:

  • Five pediatric patients with refractory chronic constipation were studied.
  • A comprehensive scintigraphy protocol assessed gastric emptying and small/large bowel transit times.

Findings:

  • All patients exhibited abnormal scintigraphy results, contrasting with normal radiological tests in four.
  • Scintigraphy altered or clarified diagnoses in three patients, influencing management in two.
  • This technique provides reproducible, quantitative, and physiological data on gastrointestinal transit.

Implications:

  • Gastrointestinal transit scintigraphy is a reliable method for pediatric constipation assessment.
  • It offers advantages over other imaging techniques by providing global and regional transit time data.
  • This diagnostic tool can significantly impact treatment strategies for pediatric constipation.
Abstract

Keywords:
(111)In-DTPAColonic transitConstipationEstreñimientoGammagrafíaScintigraphyTránsito colónico

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