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Consensus Recommendations for Gastric Emptying Scintigraphy: A Joint Report of the American Neurogastroenterology and Motility Society and the Society of Nuclear Medicine

¹ Gastroenterology, University of Mississippi Medical Center, Jackson, Mississippi; ² Gastroenterology, Mayo Clinic School of Medicine, Rochester, Minnesota; ³ Nuclear Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts; ⁴ Gastroenterology, University of Michigan Medical Center, Ann Arbor, Michigan; ⁵ Gastroenterology, University of Southern California, Los Angeles, California; ⁶ Nuclear Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania; ⁷ Gastroenterology, University of Kansas Medical Center, Kansas City, Kansas; ⁸ Central Indiana Gastroenterology Group and Saint Vincent Hospital, Indianapolis, Indiana; ⁹ Nuclear Medicine, University of Texas Medical Branch; Galveston, Texas; ¹⁰ Gastroenterology, Temple University School of Medicine, Philadelphia, Pennsylvania; ¹¹ Advanced Radiology, P.C. and Spectrum Health, Grand Rapids, Michigan; ¹² Gastroenterology, California Pacific Medical Center, San Francisco, California; and ¹³ Nuclear Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland

Correspondence: Reprint requests and correspondence: Henry P. Parkman, M.D., Gastroenterology Section, Parkinson Pavilion, 8th Floor, Temple University School of Medicine, 3401 North Broad Street, Philadelphia, PA 19140.

This consensus statement from the members of the American Neurogastroenterology and Motility Society and the Society of Nuclear Medicine recommends a standardized method for measuring gastric emptying (GE) by scintigraphy. A low-fat, egg-white meal with imaging at 0, 1, 2, and 4 h after meal ingestion, as described by a published multicenter protocol, provides standardized information about normal and delayed GE. Adoption of this standardized protocol will resolve the lack of uniformity of testing, add reliability and credibility to the results, and improve the clinical utility of the GE test.

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