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Meperidine need not be proscribed during sphincter of Oddi manometry.

Abstract：

:Meperidine is routinely proscribed during sphincter of Oddi manometry because narcotics have been associated with spasm of the sphincter of Oddi. We have performed a prospective study of the effect of meperidine on sphincter of Oddi manometry in 18 patients undergoing manometry for suspected sphincter dysfunction. After diagnostic manometry using only intravenous diazepam sedation, the endoscope remained in the duodenum while 1 mg/kg intravenous meperidine was given. Five minutes later sphincter manometry was repeated. There was no difference in the baseline sphincter pressure before and after meperidine in all patients. The frequency of phasic contractions increased after meperidine (p = 0.001). Baseline sphincter pressure is generally the only manometric criteria used to diagnose sphincter dysfunction and this did not change after meperidine. We conclude that meperidine may be used for additional analgesia during sphincter manometry. This may improve patient tolerance and the success rate of this procedure.

journal_name

Gastrointest Endosc

journal_title

Gastrointestinal endoscopy

authors

Elta GH,Barnett JL

doi

10.1016/s0016-5107(94)70002-8

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

7-9

issue

1

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(94)70002-8

journal_volume

40

pub_type

杂志文章

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