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Digestive Diseases and Sciences

, Volume 39, Issue 2, pp 289–292 | Cite as

Gallbladder ejection fraction and its relationship to sphincter of Oddi dysfunction

  • Thomas A. Ruffolo
  • Stuart Sherman
  • Glen A. Lehman
  • Robert H. Hawes
Originals Articles

Abstract

Theoretically, relative distal common bile duct obstruction due to sphincter of Oddi dysfunction may be a cause of poor gallbladder evacuation observed on quantitative cholescintigraphy. In this study, the relationship of sphincter of Oddi dysfunction to the gallbladder ejection fraction by quantitative cholescintigraphy was explored. Eighty-one patients with biliary-type pain and otherwise normal evaluations underwent quantitative cholescintigraphy, sphincter of Oddi manometry, and ERCP. Abnormalities of stimulated quantitative cholescintigraphy and/or sphincter of Oddi manometry were present in 70% of this study group. Manometric evidence of sphincter dysfunction was present in patients with similar frequency irrespective of the degree of gallbladder evacuation. In conclusion, abnormalities of quantitative cholescintigraphy and sphincter manometry appear to be independent factors, although frequent findings in this patient population.

Key words

gallbladder ejection fraction quantitative cholescintigraphy sphincter of Oddi dysfunction 

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Copyright information

© Plenum Publishing Corporation 1994

Authors and Affiliations

  • Thomas A. Ruffolo
    • 1
  • Stuart Sherman
    • 1
  • Glen A. Lehman
    • 1
  • Robert H. Hawes
    • 1
  1. 1.Indiana University HospitalIndianapolis

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