Toouli J
Department of Surgery, Flinders Medical Centre, Bedford Park, Adelaide, Australia.
Baillieres Clin Gastroenterol. 1997 Dec;11(4):725-40. doi: 10.1016/s0950-3528(97)90018-x.
Disordered motility of the biliary tract may be associated with the aetiology of common biliary tract conditions, such as gallstones. In this instance, treatment of the gallstone disease alleviates symptoms in the majority of patients. However, in up to 10% of patients, biliary motility disorders may present in the absence of gallstones or in patients after cholecystectomy. Gallbladder dyskinesia results in biliary-type pain. This abnormality may be objectively identified using the radionuclide gallbladder ejection fraction. The majority of patients with an abnormal test are improved or cured following cholecystectomy. Sphincter of Oddi dysfunction presents with either recurrent biliary-type pain or recurrent pancreatitis. Manometry of the sphincter of Oddi objectively identifies patients with manometric stenosis. The majority of these patients are improved or cured following division of the sphincter of Oddi.
胆道动力紊乱可能与常见胆道疾病如胆结石的病因有关。在这种情况下，胆结石疾病的治疗可使大多数患者的症状得到缓解。然而，高达10%的患者可能在无胆结石时或胆囊切除术后出现胆道动力障碍。胆囊运动障碍会导致胆源性疼痛。这种异常可通过放射性核素胆囊排空分数客观地识别出来。大多数检查异常的患者在胆囊切除术后病情得到改善或治愈。Oddi括约肌功能障碍表现为复发性胆源性疼痛或复发性胰腺炎。Oddi括约肌测压可客观地识别出存在测压性狭窄的患者。这些患者中的大多数在Oddi括约肌切开术后病情得到改善或治愈。
