Sphincter of Oddi response to caerulein after endoscopic sphincterotomy for papillary stenosis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1989-12

AUTHORS

Akihiro Yasui, Yuji Nimura, Junichi Kamiya, Tetsuo Hayakawa, Tokimune Shibata, Shigehiko Shionoya

ABSTRACT

Using a percutaneous transhepatic cholangioscopy (PTCS) catheter, sphincter of Oddi motility was measured in a patient with papillary stenosis secondary to bile duct stones. Prior to sphincterotomy, intramuscular injection of 20 μg caerulein did not inhibit pathological contraction waves of the sphincter of Oddi or relieve abdominal pain. Endoscopic sphincterotomy of the lower segment of the sphincter of Oddi resulted in recovery of the normal response to caerulein, i.e. relaxation of the sphincter of Oddi. This observation indicates that the pathological contraction and lack of relaxation to cholecystokinin in a patient with papillary stenosis is due to high common bile duct pressure. The measurement of motility of sphincter of Oddi via the PTCS route is useful in diagnosing motor disorders in the sphincter of Oddi and is helpful in deciding to perform endoscopic sphincterotomy. More... »

PAGES

216-219

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf02171549

DOI

http://dx.doi.org/10.1007/bf02171549

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1023720601

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/2623554


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