Korean Journal of Gastrointestinal Endoscopy 1995;15(4): 678-685.
원저 : 담도 췌장 ; Oddi 괄약근 운동 검사의 재연성 ( Reproducibility ) 에 관한 연구 : 경피적 경로를 통한 측정 ( Original Articles : Biliary Tract & Pancreas ; Reproducibility of Percutaneous Sphincter of Oddi Manometry )
민영일, 이성구, 김명환, 송일한, 최호순, 고문수, 서동진, 유병무, 이미화, 김석균, 박선미 (Young Il Min, Sung Koo Lee, Myung Hwan Kim, Il Han Song, Ho Soon Choi, Moon Soo Koh, Dong Jin Suh, Byeong Moo Yoo, Mee Hwa Lee, Seog Gyun Kim and Seon Mee Park)
Abstract
To assess the reproducibility of Sphincter of Oddi(SO) manometry, percutaneous manometry of SO was performed repeatedly in 10 subjects with biliary diseases(9 intrahepatic stone cases and 1 bile duct cancer case). Time interval for measurement of SO manometry was 3 to 7(mean 5) days. Mean manometric parameters of SO phasic contraction in the 1st and 2nd studies were not significantly different. However, as a result of manometric records, a diagnosis of dyskinesia was made in the 1st study from 4 patients(tachyoddia in 3 cases and increased retrograde propagation in one case). Among them, the diagnosis was reproduced in the 2nd study from 2(tachyoddia in 2 cases) out of 4 patients. In conclusion, abnormal manometric findings were poorly reproducible. Thus, more prolonged measurement of SO manometry or a dynamic test which stimuli or inhibit the SO activity may be necessary for accurate diagnosis of biliary dyskinesia and better reproducibility of SO manometry. (Kor J Gastrointest Endosc 15: 678-685, 1995)
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