Ponce J, Garrigues V, Sala T, Pertejo V, del Val A, Hoyos M
Gastroenterology Unit, Hospital La Fe, Valencia, Spain.
J Clin Gastroenterol. 1990 Apr;12(2):162-5. doi: 10.1097/00004836-199004000-00010.
In 15 patients with duodenal diverticula close to the papilla of Vater we evaluated the motor activity of the sphincter of Oddi by endoscopic biliary manometry. Both basal pressure and phasic activity were similar to those in nine patients without biliopancreatic disease and in 60 patients with common bile duct stones. The anatomical relationship between the papilla and diverticula did not lead to any change in the motor pattern. If juxtapapillary diverticula are associated with a higher prevalence of biliopancreatic disease, dysfunction of the sphincter of Oddi does not seem to play a pathogenic role.
我们通过内镜下胆道测压法评估了15例十二指肠憩室靠近 Vater 壶腹患者的Oddi括约肌运动活性。基础压力和阶段性活动与9例无胆胰疾病患者及60例胆总管结石患者相似。乳头与憩室之间的解剖关系未导致运动模式发生任何改变。如果壶腹周围憩室与胆胰疾病的较高患病率相关，Oddi括约肌功能障碍似乎并不起致病作用。
