Bar-Meir S, Geenen J E, Hogan W J, Dodds W J, Stewart E T, Arndorfer R C
Dig Dis Sci. 1979 Mar;24(3):209-13. doi: 10.1007/BF01308431.
Papillary stenosis is an imprecisely defined clinical syndrome which eludes definitive diagnosis. In this study we evaluated 26 patients with suspected papillary stenosis by manometric examination of the sphincter of Oddi done during ERCP examination. Basal pressure in the sphincter of Oddi was elevated in 14 of the patients. Of these 14 patients, 10 underwent sphincterotomy and all experienced improvement in clinical symptoms after their surgery. We suggest that ERCP manometry is a useful procedure for identifying patients with papillary stenosis who may benefit from sphincterotomy.
乳头狭窄是一种定义不精确的临床综合征，难以进行明确诊断。在本研究中，我们通过在ERCP检查期间对Oddi括约肌进行测压检查，评估了26例疑似乳头狭窄的患者。14例患者的Oddi括约肌基础压力升高。在这14例患者中，10例接受了括约肌切开术，术后所有患者的临床症状均有改善。我们认为，ERCP测压是一种用于识别可能从括约肌切开术中获益的乳头狭窄患者的有用方法。
