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固态胆道测压导管:对诊断及研究后胰腺炎的影响

Solid state biliary manometry catheter: impact on diagnosis and post-study pancreatitis.

作者信息

Frenz Markus B, Wehrmann Till

机构信息

Department of Internal Medicine, Klinikum Region Hannover GmbH, Krankenhaus Siloah, Roesebeckstrasse 15, 30449 Hannover, Germany.

出版信息

Curr Gastroenterol Rep. 2007 Apr;9(2):171-4. doi: 10.1007/s11894-007-0013-4.

DOI:10.1007/s11894-007-0013-4
PMID:17418064
Abstract

Perfusion manometry of the sphincter of Oddi has been the standard for the investigation of patients with presumed sphincter of Oddi dysfunction (SOD). Microtransducer manometry (MTM) of the sphincter of Oddi represents an alternative to perfusion manometry. The technical success and reproducibility of MTM are as good as for perfusion manometry. Current data suggest that the upper limit for normal of basal sphincter of Oddi pressures measured with MTM lies at approximately 35 mm Hg. Pancreatitis risk after MTM in patients with SOD compares favorably with that after perfusion manometry. Low cost and ease of handling make MTM of the sphincter of Oddi an attractive alternative.

摘要

Oddi括约肌灌注测压一直是疑似Oddi括约肌功能障碍(SOD)患者检查的标准方法。Oddi括约肌微传感器测压(MTM)是灌注测压的一种替代方法。MTM的技术成功率和可重复性与灌注测压相当。目前的数据表明,用MTM测量的Oddi括约肌基础压力正常上限约为35毫米汞柱。SOD患者MTM后胰腺炎风险与灌注测压后相比更有利。低成本和易于操作使Oddi括约肌MTM成为一种有吸引力的替代方法。

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本文引用的文献

1
Functional gallbladder and sphincter of oddi disorders.功能性胆囊和Oddi括约肌紊乱
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Reduced risk for pancreatitis after endoscopic microtransducer manometry of the sphincter of Oddi: a randomized comparison with the perfusion manometry technique.内镜下Oddi括约肌微传感器测压术后胰腺炎风险降低:与灌注测压技术的随机对照比较
Endoscopy. 2003 Jun;35(6):472-7. doi: 10.1055/s-2003-39677.
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National Institutes of Health State-of-the-Science Conference Statement: ERCP for diagnosis and therapy, January 14-16, 2002.美国国立卫生研究院科学现状会议声明:2002年1月14 - 16日,内镜逆行胰胆管造影术用于诊断和治疗
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Microbial overgrowth in water perfusion equipment for esophageal/rectal motility.用于食管/直肠动力检查的水灌注设备中的微生物过度生长。
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ERCP is most dangerous for people who need it least.内镜逆行胰胆管造影术对最不需要它的人来说是最危险的。
Gastrointest Endosc. 2001 Oct;54(4):535-6. doi: 10.1067/mge.2001.118446.
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Risk factors for post-ERCP pancreatitis: a prospective, multicenter study.内镜逆行胰胆管造影术后胰腺炎的危险因素:一项前瞻性多中心研究。
Gastrointest Endosc. 2001 Oct;54(4):425-34. doi: 10.1067/mge.2001.117550.
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Endoscopic sphincter of Oddi manometry with a portable electronic microtransducer system: comparison with the perfusion manometry method and routine clinical application.使用便携式电子微传感器系统进行内镜下Oddi括约肌测压:与灌注测压法的比较及常规临床应用
Endoscopy. 2000 Jun;32(6):444-51. doi: 10.1055/s-2000-647.
10
Incidence of pancreatitis in patients undergoing sphincter of Oddi manometry (SOM).接受Oddi括约肌测压术(SOM)的患者胰腺炎的发生率。
Am J Gastroenterol. 1999 Feb;94(2):387-90. doi: 10.1111/j.1572-0241.1999.00864.x.