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The dynamics of the main biliary duct and the mechanism of the biliopancreatic reflux

Conclusions

The terminal portion of the bile duct (the bile-duct sphincter) and the musculature of the ampulla contract together.

A functional autonomy of the sphincter of Oddi is rarely observed.

A choledochoduodenal synergy was noted in each case. The spasm of Oddi's sphincter is synchronous with duodenal spasm.

Pancreatic reflux occurs with pressure levels varying from 12 to 50 cm. of saline solution. A fatty meal may hinder the reflux in the pancreatic duct in individuals without biliary disease.

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The X-ray equipment used in our studies was donated by the Rockefeller Foundation to the Department of Anatomy of the Faculdade de Medicina da Universidade de São Paulo.

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Pinotti, H.W., de Sousa, O.M., Parolari, J.B. et al. The dynamics of the main biliary duct and the mechanism of the biliopancreatic reflux. Digest Dis Sci 12, 878–890 (1967). https://doi.org/10.1007/BF02236446

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Keywords

  • Public Health
  • Bile Duct
  • Saline Solution
  • Pressure Level
  • Pancreatic Duct