Nicolet T, de Peyer R, Miazza B
Hôpital cantonal universitaire, Genève.
Schweiz Med Wochenschr Suppl. 1993;54:22-5.
Sphincter of Oddi activity partly regulates bile flow into the small intestine. This regulation is mainly controlled by phasic contractions and basal tone of the sphincter, together with gallbladder contraction. Manometric studies of the sphincter have permitted a better understanding of its physiological role and implication in biliary dyskinesia symptoms. Motility abnormalities of Oddi's sphincter present classically as bouts of recurrent pain and/or idiopathic pancreatitis, that can be successfully cured by endoscopic sphincterotomy.
Oddi括约肌的活动部分调节胆汁流入小肠。这种调节主要由括约肌的阶段性收缩和基础张力以及胆囊收缩共同控制。对括约肌的测压研究有助于更好地理解其生理作用以及在胆道运动障碍症状中的影响。Oddi括约肌的运动异常典型表现为反复发作的疼痛和/或特发性胰腺炎,可通过内镜括约肌切开术成功治愈。