Korean Journal of Gastrointestinal Endoscopy 1996;16(2): 199-203.
원저 : 담도 췌장 ; 총담관 및 주췌관 괄약근 운동성의 동시 측정을 통한 운동 지표 비교 ( Original Articles : Biliary Tract & Pancreas ; Simultaneous Measurement of Choledochal and Pancreatic Sphincter Motility ; Comparative Study of Manometric Parameters )
민영일, 이성구, 김명환, 서동완, 이미화, 유병무, 명승재, 민영주, 박효숙, 정성애 (Young Il Min, Sung Koo Lee, Myung Hwan Kim, Dong Wan Seo, Me Hwa Lee, Byeong Moo Yoo, Seung Jae Myung, Young Joo Min, Hyo Sook Park and Sung Ae Jung)
Abstract
If manometric profiles of sphincter of Oddi(SO) measured from the pancreatic duct and the bild duct are essentially equal, then measurement of manometric profiles from only one duct would be adequate in evaluating SO dysfunction. We report a series of 9 patients whom we evaluate with SO manometry. Cannulation of both the biliary sphincter segment and pancreatic sphincter segment was archived consecutively in one session and we compared the manometric parameters of choledochal sphincter from those of pancreatic sphincter. 1) In 7 out of 9 patients(78%), normal manometric finding of SO were seen in both choledochal and pancreatic sphincters. However, in 2 out of 9 cases(22% ) abnormal manometric findings were noted in only one sphincter segment. Elevation of basal pressure(n = l ) and increased retrograde propagation(n = 1) were found in the pancreatic sphincter segment alone. 2) Tbe mean intraductal pressure in the pancreatic duct was significantly greater(12.6+-5.8mmHg) than that of common bile duct(3.8+-3.3mmHg)(p<0.01). However, basal pressure, amplitude, frequency and propagation sequence in the phasic contraction of SO were not different significantly between choledochal and pancreatic sphincter segment. In conclusion, SO manometry of both the pancreatic and bile duct is needed if complete manometric information is desired. Selective cannulation of common bile duct and pancreatic duct during SO manometry is necessary in order to diagnose segmental 50 dysfunction. (Korean J Gaetrointest Endosc 16: 198~203,1996)
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