在肺移植患者的胃空化扫描中考虑和说明
Joseph D Sisti1, Sean Ide Bolet1, Amir Amanullah1
1Temple University Hospital Department of Radiology, Division of Nuclear Medicine and Molecular Imaging, Philadelphia, PA USA.
Asia Oceania journal of nuclear medicine & biology
|January 2, 2025
概括
胃衰竭影响了23%的肺移植接受者,胃排空延迟是常见的. 移植类型和时间不会显著影响胃衰竭风险,建议对症状患者进行例行查.
科学领域:
- 胃肠病学 胃肠病学
- 移植手术 移植手术
- 核医学就是核医学.
背景情况:
- 胃衰竭是肺移植后的一种已知的并发症.
- 早期识别和管理对于患者的治疗结果至关重要.
研究的目的:
- 为了确定肺移植接受者的胃衰竭的患病率.
- 为了调查肺移植的侧面性或胃空化扫描 (GES) 的时间是否会影响胃衰竭的诊断.
主要方法:
- 在2008年至2024年期间接受了GES的111名肺移植接受者的回顾性分析.
- 标有Technetium-99m硫合物的标准化蛋粉用于光束图.
- 在饭后2小时和4小时分析的胃留百分比.
主要成果:
- 23%的接受者被诊断为胃衰竭; 67%的接受者显示胃排空延迟.
- 在双边,左侧和右侧的肺移植中,延迟排空率相似.
- 超过6个月或1年的GES时间并没有显著改变延迟胃空化的发生率.
结论:
- 肺移植的横向性不会影响延迟胃空化的风险.
- 早期GES评估不会影响胃衰竭的严重程度或速率.
- 建议对有症状的肺移植接受者进行常规GES查,以及时管理.
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