PMID: 3749793Jun 1, 1986Paper

Results of sphincteroplasty in patients with spastic sphincter of Oddi. Predictive value of operative biliary manometry and provocation tests

Scandinavian Journal of Gastroenterology
J HästbackaM T Turunen

Abstract

The predictive value of different preoperative provocation tests and operative biliary manometry was studied in a series of 22 patients undergoing sphincteroplasty for suspected spastic sphincter of Oddi (SPO). The result of the operation was good in 59%, 54%, and 71% of patients in groups with a positive codein test, a positive endoscopic retrograde cholangiopancreatography filling pain sign, and positive fentanyl test, respectively. Common bile duct pressure (CBDP) did not differ significantly between the SPO spasm group and control patients, but in the fentanyl test the CBDP elevation was significantly higher (p less than 0.01) than in controls (7.7 versus 3.3 mm Hg). It was concluded that the operative fentanyl test seems to be useful in predicting the response to surgery (sphincteroplasty) in patients with post-cholecystectomy biliary-type pain and suspected SPO spasm.

References

Jun 1, 1979·Digestive Diseases and Sciences·J A LoGiudiceW J Dodds
Dec 1, 1980·The British Journal of Surgery·B F RibeiroL P Le Quesne

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Citations

Mar 16, 2007·Digestive Diseases and Sciences·Antonio Bosch, Luis R Peña
Jul 4, 1998·The British Journal of Surgery·G Tzovaras, B J Rowlands
Jul 16, 2003·Gastroenterology Clinics of North America·Devang N Prajapati, Walter J Hogan
Oct 4, 2015·Gastrointestinal Endoscopy Clinics of North America·Aaron J Small, Richard A Kozarek
Mar 5, 2016·Surgical Case Reports·Keisuke KawamoritaKatsuhiko Uesaka
Aug 4, 2010·American Journal of Surgery·Michelangelo MicciniAdriano Tocchi
Sep 1, 1991·Scandinavian Journal of Gastroenterology·P G FarupJ K Tholfsen
Apr 1, 1988·Scandinavian Journal of Gastroenterology·A LassonB Zederfeldt
Oct 1, 1987·Scandinavian Journal of Gastroenterology·A Lasson
May 1, 1988·The British Journal of Surgery·J P NeoptolemosD L Carr-Locke
Nov 1, 2001·The Cochrane Database of Systematic Reviews·A G Craig, J Toouli
Oct 29, 2013·Expert Review of Gastroenterology & Hepatology·Abdul RehmanSatish Rao

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