Bar-Meir S, Halpern Z, Bardan E
Am J Gastroenterol. 1983 Feb;78(2):94-5.
A 64-yr-old woman with ERCP manometry proven papillary dysfunction is described. This patient responded to nitrate therapy with disappearance of the pain and decrease in both basal and phasic sphincter activity. It is suggested that nitrate administration should be used to distinguish between patients with functional and organic pathology of the sphincter of Oddi. Nitrate therapy should be tried in patients with papillary dysfunction and only if this fails, should endoscopic sphincterotomy be considered.
本文描述了一名64岁经内镜逆行胰胆管造影（ERCP）测压证实存在乳头功能障碍的女性患者。该患者接受硝酸盐治疗后疼痛消失，基础及间歇性括约肌活动均减弱。提示硝酸盐给药可用于鉴别Oddi括约肌功能障碍与器质性病变患者。对于乳头功能障碍患者应尝试硝酸盐治疗，仅在治疗失败时才考虑内镜下括约肌切开术。
