Korean Journal of Gastrointestinal Endoscopy 1996;16(4): 585-590.
원저 : 담도 췌장 ; Oddi 괄약근 운동 이상 환자 16예의 임상 양상 ( Original Articles : Biliary Tract & Pancreas ; The Clinical Characteristics of 16 Patients with Sphincter of Oddi Dyskinesia )
민영일, 이성구, 김명환, 정훈용, 서동완, 이근찬, 이미화, 유병무, 명승재, 정성애, 방혜승, 장윤혜, 김삼정 (Young Il Min, Sung Koo Lee, Myung Hwan Kim, Hwoon Yong Jung, Dong Wan Seo, Geun Chan Lee, Me Hwa Lee, Byeong Moo Yoo, Seung Jae Myung, Sung Ae Jung, Hye Seung Bhang, Yun Hae Chang and Sam Jeong Kim)
Abstract
We evaluated the clinical characteristics of patients with SO dyskinesia(n=16) who were confirmed by ERCP manometry during past 5 years. They were 14 male and 2 female and mean age was 52-year-old(range, 32-75). According to the criteria suggested by Hogan and Geenen, 13 patients were classified into biliary type and 3 patients into pancreatic type. Among the patients with biliary type(n=13), 12 patients fulfilled the criteria for group II dysfunction of SO and 1 patient for group III. Among the patients with pancreatic type(n=3), all fulfilled the criteria for group II. The manometric abnormalities were increased basal pressure(n=4), tachyoddia(n=7), increased retrograde propagation(n=3), tachyoddia and increased retrograde propagation(n=l), and tachyoddia and increased basal pressure(n=l). As treatment, 12 patients received conventional endoscopic sphincterotomy and 3 patients received endoscopic pancreatic sphincterotomy in addition to conventional endoscopic sphincterotomy. Satisfactory results (complete absence or marked reduction of pain) were obtained in 13(87%) out of 15 patients by endoscopic treatment. In conclusion, SO dyskinesia is not so common disease and the detection of patients with SO dyskinesia may increase by frequent application of ERCP manometry. (Korean J Gastrointest Endosc 16: 585-590, 1996)
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