Chest Pain Explained: Tc-99m Sestamibi Biliary Reflux Into a Stomach Used for Esophageal Replacement in Surgery for Carcinoma

A 57-year-old man had an esophageal resection and replacement with gastric "pull through" surgery that left his duodenum at the level of the diaphragm. A work-up for chest pain was undertaken with a stress-and-rest 2-day Tc-99m sestamibi protocol. Images for both stress and rest scans were...

Full description

Saved in:
Bibliographic Details
Published in:Clinical nuclear medicine 1998-07, Vol.23 (7), p.462-464
Main Authors: WIEST, PHILIP W, METTLER, FRED A, TELEPAK, ROBERT J, HARTSHORNE, MICHAEL F
Format: Article
Language:English
Subjects:
Bile Reflux - diagnostic imaging
Biological and medical sciences
Carcinoma - surgery
Chest Pain - diagnostic imaging
Digestion. Liver. Biliary tract. Spleen. Pancreas
Esophageal Neoplasms - surgery
Esophagectomy - rehabilitation
Gastritis - diagnosis
Gastroscopy
Heart - diagnostic imaging
Humans
Image Processing, Computer-Assisted
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Middle Aged
Radionuclide Imaging
Radionuclide investigations
Radiopharmaceuticals
Stomach - diagnostic imaging
Stomach - surgery
Technetium Tc 99m Sestamibi
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 57-year-old man had an esophageal resection and replacement with gastric "pull through" surgery that left his duodenum at the level of the diaphragm. A work-up for chest pain was undertaken with a stress-and-rest 2-day Tc-99m sestamibi protocol. Images for both stress and rest scans were performed 1 hour after injection. In both scans, the myocardium labeled normally, but the radiopharmaceutical was found in the stomach in the chest. The stomach's Tc-99m sestamibi activity did not interfere with image reconstruction of the heart. Endoscopy confirmed that the patient had gastritis changes in the stomach. His chest pains disappeared after he was treated medically for gastritis .
ISSN:0363-9762
1536-0229
DOI:10.1097/00003072-199807000-00013