지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한소화관운동학회(현 대한소화기능성질환.운동학회) Journal of Neurogastroenterology and Motility (JNM) Journal of Neurogastroenterology and Motility (JNM) Vol.22 No.3
- 발행연도
- 2016.1
- 수록면
- 477 - 482 (6page)
이용수
초록· 키워드
오류제보하기
Background/AimsThe reproducibility of sphincter of Oddi manometry (SOM) measurements and results of SOM after sphincterotomy has not beenstudied sufficiently. The aim of our study is to evaluate the reproducibility of SOM and completeness of sphincter ablation. MethodsThe recently published Evaluating Predictors and Interventions in sphincter of Oddi dysfunction (EPISOD) study included 214 subjectswith post-cholecystectomy pain, and fit the criteria of sphincter of Oddi dysfunction type III. They were randomized into 3 arms,irrespective of manometric findings: sham (no sphincterotomy), biliary sphincterotomy, and dual (biliary and pancreatic). Thirtyeightsubjects had both biliary and pancreatic manometries performed twice, at baseline and at repeat endoscopic retrogradecholangiopancreatography after 1-11 months. Sham arm was examined to assess the reproducibility of manometry, and the treatmentarms to assess whether the sphincterotomies were complete (elevated pressures were normalized). ResultsBiliary and pancreatic measurements were reproduced in 7/14 (50%) untreated subjects. All 12 patients with initially elevated biliarypressures in biliary and dual sphincterotomy groups normalized after biliary sphincterotomy. However, 2 of 8 subjects with elevatedpancreatic pressures in the dual sphincterotomy group remained abnormal after pancreatic sphincterotomy. Paradoxically, normalbiliary pressures became abnormal in 1 of 15 subjects after biliary sphincterotomy, and normal pancreatic pressures became abnormalin 5 of 15 patients after biliary sphincterotomy, and in 1 of 9 after pancreatic sphincterotomy. ConclusionsOur data suggest that SOM measurements are poorly reproducible, and question whether we could adequately perform pancreaticsphincterotomy.
목차
등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Geenen JE / 1989 / The efficacy of endoscopic sphincterotomy after cholecystectomy in patients with sphincter-of-Oddi dysfunction / N Engl J Med 320:82~87
Petersen BT / 2004 / An evidence-based review of sphincter of Oddi dysfunction:part I, presentations with “objective” biliary findings (types I and II) / Gastrointest Endosc 59:525~534
Cotton PB / 2014 / Effect of endoscopic sphincterotomy for suspected sphincter of Oddi dysfunction on painrelated disability following cholecystectomy: the EPISOD randomized clinical trial / JAMA 311:2101~2109
Toouli J / 2000 / Manometry based randomised trial of endoscopic sphincterotomy for sphincter of Oddi dysfunction / Gut 46:98~102
Sherman S / 1994 / Efficacy of endoscopic sphincterotomy and surgical sphincteroplasty for patients with sphincter of Oddidysfunction (SOD): randomized, controlled study / Gastrointest Endosc 40:A125
Petersen BT / 2004 / An evidence-based review of sphincter of Oddi dysfunction:part I, presentations with “objective” biliary findings (types I and II) / Gastrointest Endosc 59:525~534
Cotton PB / 2014 / Effect of endoscopic sphincterotomy for suspected sphincter of Oddi dysfunction on painrelated disability following cholecystectomy: the EPISOD randomized clinical trial / JAMA 311:2101~2109
Toouli J / 2000 / Manometry based randomised trial of endoscopic sphincterotomy for sphincter of Oddi dysfunction / Gut 46:98~102
Sherman S / 1994 / Efficacy of endoscopic sphincterotomy and surgical sphincteroplasty for patients with sphincter of Oddidysfunction (SOD): randomized, controlled study / Gastrointest Endosc 40:A125
이 논문의 저자 정보
최근 본 자료
댓글(0)
0