Manometric disorders in patients with suspected sphincter of Oddi dysfunction.

Abstract:

:Sphincter of Oddi (SO) manometry was conducted in 48 subjects who had previously undergone cholecystectomy. Ten of these subjects had no detectable biliary or pancreatic disease and served as controls. The other 38 patients were presumed to have SO dysfunction and had presented with episodes of severe biliary-type pain with either dilatation of the bile duct on a retrograde cholangiogram, transient changes in liver function tests, or both of these abnormalities. A triple-lumen low-compliance manometric system was used to record the SO basal pressure, SO phasic contraction amplitude, SO wave frequency, direction of wave propagation, and SO response to intravenously administered cholecystokinin-octapeptide 20 ng/kg. Satisfactory manometric recordings were obtained from 32 of 38 patients and of these, 25 patients showed one or more abnormalities when compared with data from the 10 controls. The abnormalities included excess of retrograde contractions (12), high frequency of SO phasic contractions (11), elevation of the SO basal pressure (8), and paradoxical cholecystokinin-octapeptide response (10). The study has demonstrated a spectrum of manometric abnormalities in the SO of patients with suspected SO dysfunction.

journal_name

Gastroenterology

journal_title

Gastroenterology

authors

Toouli J,Roberts-Thomson IC,Dent J,Lee J

doi

10.1016/s0016-5085(85)80086-x

subject

Has Abstract

pub_date

1985-05-01 00:00:00

pages

1243-50

issue

5 Pt 1

eissn

0016-5085

issn

1528-0012

pii

S0016508585001615

journal_volume

88

pub_type

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