Advertisement

Does Incompetence of the Sphincter of Oddi Exist? Can It Account for Certain Cases of Acute Pancreatitis?

  • J. Delmont
  • J. P. Vedel
  • X. Faure
  • G. Vauban
  • A. Harris
Conference paper

Abstract

More than 30 years before Oddi’s first publication, Claude Bernard wrote (6) “this aperture is contractile, so that it prevents inflow of intestinal fluids into the pancreatic ducts, an event which could lead to the destruction of the organ”. The origin and pathophysiology of duodenopancreatic reflux was thus questioned.

Keywords

Acute Pancreatitis Pancreatic Duct Endoscopic Sphincterotomy Recurrent Acute Pancreatitis Postoperative Pancreatitis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Albot G. (1977) Functional disorders of Oddi’s sphincter and of the duodenobiliary tract system in the sphincter of Oddi. (In) Delmont J (ed) The sphincter of Oddi. Karger, Basel pp 123–128Google Scholar
  2. 2.
    Anacker H., Weiss H D, Kraman B (1977) Endoscopic retrograde pancreatico-cholangiography (E.R.C.P.). Springer, Berlin Heidelberg New YorkGoogle Scholar
  3. 3.
    Atkinson G O, Gay B B jr.,Patrick J W, Vanderzalm T (1977) Incompetence of the sphincter of Oddi in the newborn; report of two cases. Am J.Roentgenol 128: 861Google Scholar
  4. 4.
    Bartlett M K, Nardi G L (1960) Treatment of recurrent pancreatitis by transduodenal sphincterotomy and exploration of the pancreatic duct. N Engl J Med 262: 643PubMedCrossRefGoogle Scholar
  5. 5.
    Benoit G, Larrieu H (1979) Apport de la kinésimétrie dans l’interprétation du reflux wirsungien dans les pancréatites aiguës associées à une lithiase biliaire. Gastroenterol Clin Biol 3: 329–335PubMedGoogle Scholar
  6. 6.
    Bernard C (1856) Mémoire sur le pancréas et sur le rôle du suc pancréatique dans les phénomènes digestifs, particulièrement dans la digestion des matières grasses. Baillière, ParisGoogle Scholar
  7. 7.
    Boyden EA The anatomy of the choledocho-duodenal junction in man. Surg Gynecol Obstet 104:641–652Google Scholar
  8. 8.
    Caroli J, Mercadier M (1949) Les dyskinésies biliaires. Vigo, ParisGoogle Scholar
  9. 9.
    Delmont J (ed) (1977) The sphincter of Oddi. Karger, BaselGoogle Scholar
  10. 10.
    Delmont J (1979) Le sphincter d’Oddi. Anatomie traditionnelle et anatomie fonctionnelle. Gastroenterol Clin Biol 3: 157–165PubMedGoogle Scholar
  11. 11.
    Delmont J, Ljunggren B, Faure X, Vedel JP (1979) Functional disorders of the sphincter of Oddi: a clinicalreality? In: Classen M (ed) The papilla vateri and its diseases. Witzstrock, Baden-Baden, pp 57–65Google Scholar
  12. 12.
    Delmont J, Vedel JP, Alemanno J (1980) Pancréatite aiguë et reflux bilio et duodéno-pancréatique. Gastroenterol Clin Biol 4: 223–226PubMedGoogle Scholar
  13. 13.
    Delmont J, Henry JF, Vedel JP, Vauban G, Sieurat P (1980) Etude critique des dyskinésies du sphincter d’Oddi In: Barthelheimer H (Hrsg) Die kranken Gallenwege. Witzstrock, Baden-Baden, S 140–146Google Scholar
  14. 14.
    Doubilet H, Mulholland JH (1961) Surgical treatment of chronic pancreatitis. JAMA 175: 177PubMedGoogle Scholar
  15. 15.
    Fagniez PL (1977) Pancréatite aiguë et lithiase biliaire (analyse commentée). Gastroenterol Clin Biol 1: 301–302Google Scholar
  16. 16.
    Fernandez-Cruz L, Palacin A, Pera C (1977) Benign strictures of the terminal common bile duct. Pathological and surgical considerations. In: Delmont J (ed) The sphincter of Oddi. Karger, Basel, pp 137–144Google Scholar
  17. 17.
    Germain M, Martin E, Gremillet C (1977) Embryology of the sphincter of Oddi. In: Delmont J (ed) The sphincter of Oddi. Karger, Basel, pp 1–5Google Scholar
  18. 18.
    Jones SA, Steedman RA, Keller TB, Smith LL (1969) Transduodenal sphincteroplasty (not sphincterotomy) for biliary and pancreatic disease. Indications, contraindications and results. Am J Surg 118: 292PubMedCrossRefGoogle Scholar
  19. 19.
    Kapandji A (1973) La kinésimétrie et le kinésigraphe en chirurgie biliaire. Ann Chir 27: 293–297PubMedGoogle Scholar
  20. 20.
    Lambling A, Guerre J, Bernier JJ, Gosset JR (1955) Cholecystite et pancréatite par reflux. Etude clinique et expérimentale. Rôle de la dystonie oddienne et de la dyskinésie duodénale. Rev Int Hépatol 6: 761–782Google Scholar
  21. 21.
    Larrieu H, Germain M (1973) Dyskinésie duodénale avec reflux duodéno-biliaire et duodéno-pancréatique traitée par duodéno-jéjunostomie sur anse en Y. A propos d’un cas personnel. Ann Chir 27: 291–293PubMedGoogle Scholar
  22. 22.
    Moody FG, Berenson MM, Mc Closkey D (1977) Transampullary septectomy for post-cholecystectomy pain. Ann Surg 186: 415–423PubMedCrossRefGoogle Scholar
  23. 23.
    Murat JE (1977) Reflux through the sphincter of Oddi ? Influence of duodenal distension upon biliary tract and pancreas. Experimental study. In: Delmont J (ed) The sphincter of Oddi. Karger, Basel, pp 86–89Google Scholar
  24. 24.
    Pietri H, Sahel J, Cicero GF, Boscaini M, Sarles H (1981) Aspects échographiques du pancréas normal et pathologique après wirsungographie rétrograde (E.R.C.P.), résultats préliminaires. IIIe Symposium International d’Endoscopie Digestive. Paris, 30 May (in press)Google Scholar
  25. 25.
    Ritter U (1978) Pathophysiology of diseases of the papilla of Vater. In: Demling L (ed) Endoscopic sphincterotomy of the papilla of Vater. Thieme, Stuttgart, pp 10–13Google Scholar
  26. 26.
    Rives J, Lardennois B. Flament JB (1977) The sphincter of Oddi in mucosal diverticula of the duodenal window. In: Delmont J (ed) The sphincter of Oddi. Karger, Basel, pp 145–152Google Scholar
  27. 27.
    Salducci J, Naudy B, Pin G, Ranieri F, Monges H (1977) Papilla electromyography: endoluminal recording performed in man by perduodenoscopic cannulation. In: Delmont J (ed) The sphincter of Od-di. Karger, Basel, pp 77–79Google Scholar
  28. 28.
    Waldron RL, Seaman WB, Foster S (1972) Reflux pancreatography and distension duodenography in humans. Radiology 104: 295PubMedGoogle Scholar
  29. 29.
    White TT (1977) The part that the sphincter of Oddi plays in the etiology of pancreatitis. In: Delmont J (ed) The sphincter of Oddi. Karger, Basel, pp 175–179Google Scholar
  30. 30.
    White TT, Allan BJ(1974) Intrapancreatic activation of proteases in the etiology of pancreatitis and cancer of the pancreas. Med Clin North Am 58: 1305–1310Google Scholar
  31. 31.
    White IT, Morgan A, Hopton D (1970) Postoperative pancreatitis: a study of 70 cases. Am J Surg 120: 132–137PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1982

Authors and Affiliations

  • J. Delmont
  • J. P. Vedel
  • X. Faure
  • G. Vauban
  • A. Harris

There are no affiliations available

Personalised recommendations