Papillary function of patients with juxtapapillary duodenal diverticulum. Consideration of pathogenesis of common bile duct stones

Scandinavian Journal of Gastroenterology
K KubotaY Idezuki

Abstract

The papillary function of cholelithiasis patients with and without juxtapapillary duodenal diverticulum (JPDD) was examined manometrically. The papillary function was evaluated on the basis of dP(0.5), the pressure difference between the resting pressure and the perfusion pressure. Patients with a dP(0.5) less than 5 cm H2O were considered to have papillary dysfunction. In cholecystolithiasis patients the incidence of papillary dysfunction was significantly greater in those with JPDD than in those without JPDD (p less than 0.05). However, there was no significant difference in dP(0.5) between those with and without JDPP because of the small number of patients involved. Also, in patients with choledocholithiasis there was no difference in the papillary function between those with and without JPDD. All who had JPDD showed papillary dysfunction. From our results, JPDD is suspected to have an important role in causing papillary dysfunction or loss of papillary muscle tone. This dysfunction may be closely connected with the formation of common bile duct stones.

References

Nov 1, 1984·The Japanese Journal of Surgery·N SuzukiT Sato
Nov 1, 1981·American Journal of Surgery·J MannyZ Eyal
Jul 1, 1982·Annals of Surgery·T LøtveitS Larsen
Aug 1, 1982·Scandinavian Journal of Gastroenterology·T Løtveit

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Citations

Mar 7, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Chad M TevenJeffrey B Matthews
Jun 11, 1999·The British Journal of Surgery·D N LoboB J Rowlands
Jun 23, 2011·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Dong Woo HaHye Kyung Jeon
Apr 28, 2005·Journal of Gastroenterology and Hepatology·Jeng-Jie TzengE-Ming Wang
Jan 1, 1997·Journal of Gastroenterology and Hepatology·G ChandyI C Roberts-Thomson
May 1, 1992·Journal of Gastroenterology and Hepatology·T Sauerbruch

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