Function and Dysfunction of the Sphincter of Oddi

被引：11

作者：

Tanaka, Masao ^{[1
]}

机构：

[1] Kyushu Univ, Grad Sch Med Sci, Dept Surg & Oncol, Higashi Ku, Fukuoka 8128582, Japan

来源：

DIGESTIVE SURGERY | 2010年 / 27卷 / 02期

关键词：

Manometry; Milwaukee classification; Sphincter of Oddi; Sphincterectomy; MIGRATING MOTOR COMPLEX; BILE-DUCT PRESSURE; ENDOSCOPIC SPHINCTEROTOMY; MICROTRANSDUCER CATHETER; BILIARY DYSKINESIA; CONSCIOUS DOGS; MANOMETRY; PAIN; DUODENUM; MOTILITY;

D O I：

10.1159/000286464

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

In this review, the function of the sphincter of Oddi (SO) is detailed in terms of normal motility, neural and hormonal control of SO function, coordination between gallbladder and SO motility, and correlation of motility of the SO and the duodenum. In addition, SO function tests, such as the morphine Prostigmin test (Nardi test), perfusion manometry, microtransducer manometry, and cholescintigraphy, are explained. Subsequently, the pathophysiology, diagnosis, and treatment of SO dysfunction, including SO stenosis and dyskinesia, are described and discussed in detail. SO manometry and endoscopic sphincterotomy are effective to treat SO dysfunction, but symptoms of the patient must be severe enough to justify these invasive procedures for diagnosis and treatment. Copyright (C) 2010 S. Karger AG, Basel

引用

页码：94 / 99

页数：6

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