[Show abstract][Hide abstract] ABSTRACT: Eighty children with bronchial asthma and ten control cases underwent radionuclide gastroesophagography for the detection of gastroesophageal reflux. Thirty nine per cent asthmatic children demonstrated esophageal reflux on scintiscanning. The ten control subjects had no reflux. The presence of reflux correlated strongly with the presence of nocturnal exacerbation of symptoms. Bronchodilator therapy did not affect the prevalence of GER in asthmatic children.
Indian pediatrics 11/1995; 32(10):1083-6. · 1.01 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Thirty cases of recurrent pulmonary infection and ten control cases underwent radionuclide gastroesophagography endoscopy, histopathology and barium esophagography to evaluate the clinical efficacy of scintigraphic technique in, detection of gastroesophageal reflux. After ingesting 500 micro curie of Tc-Sulphur colloid mixed in milk, patients esophageal activity was monitored using the gamma camera for forty-five minutes continuously. By using histopathology as standard of comparison, the sensitivity and specificity of radionuclide esophagography was 78.54 and 81.25%, respectively. Because of its physiologic nature, low radiation exposure and convenience, radionuclide esophagography is recommended as a suitable screening test for detecting gastroesophageal reflux where available.
Indian pediatrics 06/1993; 30(5):625-8. · 1.01 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: A rare case of disseminated tuberculosis presenting as epididymo-orchitis in a 3 years old is reported. Tuberculous orchitis is unusual at any age and is virtually unknown in children. Scrotal swellings in childhood are usually malignant. The multisystem nature of the disease in this case led to the suspicion of a malignant process. The dilemma was resolved after magnetic resonance imaging and fine needle aspiration biopsy of the scrotal swelling. The child continues to improve on anti-tuberculosis treatment combined with steroids.