How to Interpret a Functional or Motility Test: Sphincter of Oddi Manometry
Journal of Neurogastroenterology and Motility
;
: 211-217, 2012.
Article
Dans Anglais
| WPRIM
| ID: wpr-107616
ABSTRACT
To date, endoscopic manometry is the best method for evaluating the function of the sphincter. Sphincter of Oddi manometry (SOM) remains the gold standard to correctly diagnose the sphincter of Oddi dysfunction (SOD) and stratify therapy. Several dynamic abnormalities relating to the intensity, frequency, and propagation of sphincter contractions have been described. However, their clinical use generally has been abandoned in favor of basal sphincter pressure alone, because this measurement is stable over time, and has stronger interobserver reliablility, reproducibility on repeating testing, and is associated with the responsiveness to therapy. A significant elevated risk of pancreatitis was attributed to the technique. The risk of pancreatitits associated with manometric evaluation of the pancreatic sphincter is markedly reduced when manometry is performed with continous aspiration from the pancreatic duct via one of the 3 catheter lumens. This section reviews indications, conscious sedative drugs, techniques, and the appropriate interpretations of SOM.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Conduits pancréatiques
/
Pancréatite
/
Contrats
/
Dysfonctionnement du sphincter d'Oddi
/
Cathéters
/
Manométrie
/
Muscle sphincter de l'ampoule hépatopancréatique
langue:
Anglais
Texte intégral:
Journal of Neurogastroenterology and Motility
Année:
2012
Type:
Article
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