Advertisement

Sphinkter-Oddi-Manometrie

  • H.-D. Allescher
Chapter

Zusammenfassung

Nach Einführung der endoskopischen Manometric der Papille bzw. des Sphinkter Oddi 1975 durch Nebel, hat sich diese Methode zum Goldstandard zur Beurteilung der Papillenfunktion entwickelt. Die Methode hat grundsétzlich sehr zum Verständnis der Physiologie und Pharmakologie der Papillenfunktion beigetragen, jedoch ist ihr Wert in der klinischen Diagnostik nicht unumstritten. In erfahrenen Händen bietet die Sphinkter- Oddi-(SO-)Manometric eine präzise Beurteilungsmöglichkeit der Papillenmotilität. Andererseits ist diese invasive Methode jedoch mit z. T. schwerwiegenden Komplikationen, insbesondere einer postinterventionellen Pankreatitis verknüpft, sodass immer Risiko und Nutzen gegeneinander abgewogen werden müssen.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Allescher HD (1993) How to sedate for sphincter of Oddi manometry. Endoscopy 25: 399–400PubMedCrossRefGoogle Scholar
  2. Allescher HD, Neuhaus H, Hagenmüller F et al. (1990) Effect of N-butylscopolamine on sphincter of Oddi motility in patients during routine ERCP manometric study. Endoscopy 22: 160–163PubMedCrossRefGoogle Scholar
  3. Carr-Locke DL, Gregg JA (1981) Endoscopic manometry of pancreatic and biliary sphincter zones in man. Basal results in healthy volunteers. Dig Dis Sci 26: 7–15PubMedCrossRefGoogle Scholar
  4. Chen YK, Foliente RL, Santoro MJ et al. (1994) Endoscopic sphincterotomy-induced pancreatitis: increased risk associated with nondilated bile ducts and sphincter of Oddi dysfunction. Am J Gastroenterol 89: 327–333PubMedGoogle Scholar
  5. Csendes A, Kruse A, Funch-Jensen P et al. (1979) Pressure measurements in the biliary and pancreatic duct systems in controls and in patients with gallstones, previous cholecystectomy, or common bile duct stones. Gastroenterology 77: 1203–1210PubMedGoogle Scholar
  6. Geenen JE, Hogan WJ, Dodds WJ et al. (1980) Intraluminal pressure recording from the human sphincter of Oddi. Gastroenterology 78: 317–324PubMedGoogle Scholar
  7. Guelrud M, Mendoza S, Rossiter G et al. (1990) Sphinkter of Oddi manometry in healthy volunteers. Dig Dis Sci 35: 38–46PubMedCrossRefGoogle Scholar
  8. Meshkinpour H, Mollot M, Eckerling GB et al. (1984) Bile duct dyskinesia. Clinical and manometric study. Gastroenterology 87: 759–762PubMedGoogle Scholar
  9. Meshkinpour H, Mollot M (1992) Sphinkter of Oddi dysfunction and unexplained abdominal pain: clinical and manometric study. Dig Dis Sci 37: 257–267PubMedCrossRefGoogle Scholar
  10. Nebel OT (1975) Manometric evaluation of the papilla of Vater. Gastrointest Endosc 21: 126PubMedCrossRefGoogle Scholar
  11. Rolny P, Érlebäck A, Fuch-Jensen P et al. (1989) Clinical significance of manometric assessment of both pancreatic duct and bile duct sphincter in the same patient. Scand J Gastroenterol 24: 751–754PubMedCrossRefGoogle Scholar
  12. Rolny P, Geenen JE, Hogan WJ et al. (1991) Clinical features, manometric findingss and endoscopic therapy results in group I patients with sphincter Oddi dysfunction. Gastrointest Endosc 37: 84–85CrossRefGoogle Scholar
  13. Schmitt T, Scifert H, Dietrich CF et al. (1999) Propofolsedierung bei endoskopischer Manometric des Sphincter Oddi. Z Gastroenterol 37: 219–227PubMedGoogle Scholar
  14. Sherman S, Hawes RH, Troiano FP et al. (1992) Pancreatitis following bile duct sphincter of Oddi manometry: utility of the aspirating catheter. Gastrointest Endosc 38: 347–350PubMedCrossRefGoogle Scholar
  15. Silverman WB, Ruffolo TA, Sherman S et al. (1992) Correlation of basal sphincter pressures measured from the bile duct and the pancreatic duct in patients with suspected sphincter of Oddi dysfunction. Gastrointest Endosc 38: 440–443PubMedCrossRefGoogle Scholar
  16. Toouli J, Geenen JE, Hogan WJ et al. (1982) Sphincter of Oddi motor activity: a comparison between patients with common bile duct and controls. Gastroenterology 82: 111–117PubMedGoogle Scholar
  17. Wehrmann T, Wiemer K, Lembcke B et al. (1996) Do patients with sphincter of Oddi dysfunction benefit from endoscopic sphincterotomy? A 5-year prospective trial. Eur J Gastroenterol Hepatol 8: 251–256PubMedCrossRefGoogle Scholar
  18. Wehrmann T, Wendler OG, Jung M et al. (1997) Risikofaktoren der endoskopischen Manometric bei Verdacht auf Sphinkter-Oddi-Dysfunktion. Dtsch Med Wochenschr 122: 808–814PubMedCrossRefGoogle Scholar
  19. Wehrmann T, Schmitt T, Schonfeld A et al. (2000) Endoscopic sphincter of Oddi manometry with a portable electronic microtransducer system: comparison with the perfusion manometry method and routine Clinical application. Endoscopy 32: 444–451PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2003

Authors and Affiliations

  • H.-D. Allescher

There are no affiliations available

Personalised recommendations