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Pressures in the Sphincter of Oddi in Patients with Gallstones, Common Duct Stones, and Recurrent Pancreatitis

1983; Lippincott Williams & Wilkins; Volume: 5; Issue: 1 Linguagem: Inglês

10.1097/00004836-198302000-00009

1539-2031

Moisés Guelrud, Sonia Mendoza, Simon Vicent, Manuel Romero–Gómez, Beatriz Villalta,

Pancreatitis Pathology and Treatment

To determine the significance of manometric pressure, measurements of the sphincter of Oddi in a control group and in patients with cholelithiasis with common duct stones with and without recurrent pancreatitis were studied. Sphincter of Oddi pressure was recorded continuously and by station pull-through by a triple lumen catheter. The basal sphincter of Oddi pressure, the mean pressure gradient between common duct and duodenum, and the sphincter of Oddi ware amplitude were measured. There was no significant difference between control subjects and patients with gallstones and common duct stones. In patients with common duct stones and recurrent pancreatitis the basal sphincter of Oddi pressure, the pressure gradient between common duct and duodenum, and the wave amplitude were significantly increased over control patients. These studies suggest that abnormalities in the sphincter of Oddi motor function are more common in patients with common duct stones with recurrent pancreatitis than in similar patients without pancreatitis.