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Sphincter of Oddi Manometry

  • Glen A. Lehman

Abstract

In 1887, Ruggero Oddi, described the sphincter of Oddi (SO) (1). But until recently, problems related to sphincter of Oddi dysfunction were either poorly diagnosed or were treated empirically with surgery. The introduction of endoscopie retrograde examination of the biliary and pancreatic ducts provided an opportunity for evaluating the sphincter function. This endoscopie technique has subsequently facilitated the development of biliary and pancreatic manometry (2).

Keywords

Bile Duct Pancreatic Duct Sphincter ofOddi Oddi Dysfunction Triple Lumen Catheter 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Oddi R. D’une disposition a sphincter speciale dc l’ouverture du canal choledoque. Arch Ital de Biol 1887;8:317.Google Scholar
  2. 2.
    Lehman GA: Endoscopie sphincter of Oddi manometry—a clinical practice and research tool. Gastrointest Endose 1991, 37:490–491.CrossRefGoogle Scholar
  3. 3.
    Richards RD, Yeaton P, Shaffer HA, Pambianco DJ, Pruett TL, Stevenson WC, Mittal RK, McCallum RW: Human sphincter of Oddi motility and cholecystokinin response following liver transplantation. Dig Dis Sei 1993, 38:462–468.CrossRefGoogle Scholar
  4. 4.
    Becker JM, Parodi JM: Basic control mechanisms of sphincter of Oddi motor function. Gastrointest Endos Clin N Am 1993, 3:41–66.Google Scholar
  5. 5.
    Anderson TM, Pitt HA, Longmire WP: Experience with sphincteroplasty and sphincterotomy in pancreatobiliary surgery. Ann Surg 1985, 201:399–406.PubMedCrossRefGoogle Scholar
  6. 6.
    Lans JL, Parikh NP, and Geenen JE: Application of sphincter of Oddi manometry in routine clinical investigations. Endoscopy 1991, 23:139–143.PubMedCrossRefGoogle Scholar
  7. 7.
    Sherman S, Gottlieb K, Uzer MF, Smith MT, Khusro QE, Earle DT, Brunelle RL, Hawes RH, Lehman GA: Effects of meperidine on the pancreatic and biliary sphincter. Gastrointest Endose 1996, 44:239–242.CrossRefGoogle Scholar
  8. 8.
    Geenen JE, Hogan WJ, Dodds WJ, Toouli J, Venu RP: The Efficacy of endoscopie sphincterotomy after cholecystectomy in patients with suspected sphincter of Oddi dysfunction. N Engl J Med 1989, 320:82–87.PubMedCrossRefGoogle Scholar
  9. 9.
    Sherman S, Troiano FP, Hawes RH, Lehman GA: Sphincter of Oddi manometry: Decreased risk of clinical pancreatitis with the use of a modified aspirating catheter. Gastrointest Endose 1990, 36:462–466.CrossRefGoogle Scholar
  10. 10.
    Raddawi H, Geenen J, Hogan W, Dodds W, Venu R, Johnson G: Pressure measurements from biliary and pancreatic segments of Sphincter of Oddi—Comparison between patients with functional abdominal pain, biliary, or pancreatic disease. Dig Dis Sci 1991, 36:71–74.PubMedCrossRefGoogle Scholar
  11. 11.
    Rolny P, Ärlebäck A, Funch-Jensen P, Kruse A, Jamerot G: Clinical significance of manometric assessment of both pancreatic duct and bile duct sphincter in the same patient. Stand J Gastro 1989, 24:751–754.CrossRefGoogle Scholar
  12. 12.
    Silverman WE, Ruffolo TA, Sherman S, Hawes RH, Lehman GA: Correlation of basal sphincter pressures measured from both the bile duct and pancreatic duct in patients with suspected sphincter of Oddi dysfunction. Gastrointest Endose 1992, 38:440–443.CrossRefGoogle Scholar
  13. 13.
    Eversman D, Sherman S, Bucksot L, Earle D, Rusche M, Gottlieb K, Lehman GA: Frequency of abnormal biliary and pancreatic basal sphincter pressure at sphincter of Oddi manometry (SOM) in 463 patients. Gastrointest Endose 1997; 45:A131.CrossRefGoogle Scholar
  14. 14.
    Kalloo AN, Tietjen TG, Pasricha PJ: Does intrabiliary pressure predict basal sphincter of Oddi pressure? study in patients with and without gallbladders. Gastrointest Endose 1996,44:696–699.CrossRefGoogle Scholar
  15. 15.
    Guelrud M, Mendoza S, Rossiter G, Villegas MI: Sphincter of Oddi manometry in healthy volunteers. Dig Dis Sci 1990,35:38–46.PubMedCrossRefGoogle Scholar
  16. 16.
    Rolny P, Anderberg B, lhsc I, Lindstrom E, Olaison G, Arvill A: Pancreatitis after sphincter of Oddi manometry. Gut 1990, 31:821–824.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1999

Authors and Affiliations

  • Glen A. Lehman
    • 1
  1. 1.Division of Gastroenterology/Hepatology Department of Medicine IndianaUniversity Medical CenterUSA

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