Gatica M A, Orellana P, Nagel J, Valdivìeso V
Rev Med Chil. 1989 Sep;117(9):1002-5.
The appearance of biliary pain after cholecystectomy in patients with normal ultrasonic and cholangiographic studies has been attributed to functional alterations of the Sphincter of Oddi. We performed dynamic cholescyntigraphic studies of the biliary tract in 32 cholecystectomized patients, at least six months after the operation: 27 were asymptomatic (control group) and 5 had clinical and laboratory findings suggesting temporary functional obstruction of the Sphincter of Oddi. In this group we demonstrated an emptying delay of the biliary tract that was modified by the IV infusion of Cholecystokinin Octapeptide. Biliary Cholescintigraphy appears as a good screening method to evaluate functional alterations of the Sphincter of Oddi.
在超声和胆管造影检查均正常的患者中,胆囊切除术后出现胆绞痛被归因于奥迪括约肌的功能改变。我们对32例胆囊切除术后至少6个月的患者进行了胆道动态胆囊造影研究:27例无症状(对照组),5例有临床和实验室检查结果提示奥迪括约肌存在暂时性功能性梗阻。在这组患者中,我们证实了胆道排空延迟,静脉输注八肽胆囊收缩素可使其得到改善。胆系闪烁造影似乎是评估奥迪括约肌功能改变的一种良好筛查方法。