ADVANCE AND CLINICAL SIGNIFICANCE IN THE RESEARCH OF ODDI′S SPHINCTER MOTILITY_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

REN Wei

Department of General Surgery, The First Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing 400016;

Corresponding author：

Keywords：

Oddi′s sphincter Motility

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Objective To review the studies on Oddi′s sphincter motility in recent years.
Methods The studies on exploration and evaluation of normal or abnormal Oddi′s sphincter motility by means of electromyography, dynamic hepatobiliary scintigraphy, endoscopic manometry, and laboratory tests were reviewed.
Results Endoscopic manometry was the gold standard for distinguishing normal motility from the abnormal. Some surgeries and drugs could lead to the sphincter of Oddi dysfunction.
Conclusion The sphincter of Oddi dysfunction can be treated with endoscopic sphincterotomy. Preservation of sphincter function is stressed in surgery.

Citation： REN Wei,SHI De.. ADVANCE AND CLINICAL SIGNIFICANCE IN THE RESEARCH OF ODDI′S SPHINCTER MOTILITY. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2000, 7(3): 199-201. doi: Copy

1.	Toouli J. Sphincter of Oddi 〔Ｊ〕. Gastroenterologist， 1996; 4(1)∶44.
2.	Coelho JC, Wiederkehr JC. Motility of Oddi′s sphincter: recent developments and clinical applications 〔Ｊ〕. Am J Surg, 1996; 172(7)∶48.
3.	Talmage EK, Hillsley K, Kennedy AL, et al. Identification of the cholinergic neurons in guineapig sphincter of Oddi ganglia 〔Ｊ〕. J Auton Nerv Syst, 1997; 64(1)∶12.
4.	Funch JP, Ebbenok N. Sphincter of Oddi motility 〔Ｊ〕. Scand J Gastroenterol Suppl, 1996; 216(1)∶46.
5.	Abell TL, Werkman RF, Familoni BO, et al. Biliary, pancreatic, and sphincter of Oddi′s electrical and mechanical signals record during ERCP 〔Ｊ〕. Dig Dis Sci, 1998; 43(3)∶540.
6.	Simula ME, Harvey JR, Scosti D, et al. In vitro characterization of intramural neural pathways between the duodenum and the sphincter of Oddi of the brashtailed possum 〔Ｊ〕. J Auton Nerv Syst, 1997; 63(1-2)∶77.
7.	Coelho JC, Senninger N, Runkel N, et al. Effect of nifedipine on the motility of the sphincter of Oddi and small bowel of the opossum 〔Ｊ〕. Res Exp Med, 1987; 187(1)∶19.
8.	Coelho JC, Gouma DJ, Moody FG, et al. Serotonin increases the velocity of propagation and frequent of the migrating myoelectric complexes 〔Ｊ〕. Eur J Clin Invest, 1986; 16(3)∶252.
9.	Coelho JC, Senninger N, Runkel N, et al. Effect of analgesic drug on the electromyographic activity of the gastrointestinal tract and sphincter of Oddi and on biliary pressure 〔Ｊ〕. Ann Surg, 1986; 204(1)∶53.
10.	Sherman S, Lehman GA. Opioids and the sphincter of Oddi 〔Ｊ〕. Gastrointest Endosc, 1994; 40(1)∶105.
11.	Ahrendt SA, Ahrendt GM, Lillemoe KD, et al. Effect of octreotide on sphincter of Oddi and gallbladder motility in prairie dogs 〔Ｊ〕. Am J Physiol, 1992; 262(5Pt1)∶G909.
12.	Binmoeller KF, Dumas R, Harris AG, et al. Effect of somatostatin analog octreotide on human sphincter of Oddi 〔Ｊ〕. Dig Dis Sci, 1992; 37(5)∶773.
13.	Tzovaras G, Towlands BJ. Diagnosis and treatment of sphincter of Oddi dysfunction 〔Ｊ〕. Br J Surg, 1998; 85(5)∶588.
14.	Luman W, Williams AJ, Pryde A, et al. Influence of cholecystectomy on sphincter of Oddi motility 〔Ｊ〕. Gut, 1997; 41(3)∶371.
15.	Kalloo AN, Pasricha PJ. Therapy of sphincter of Oddi dysfunction 〔Ｊ〕. Gastrointest Endosc Clin N Am, 1996; 6(1)∶117.
16.	Tamasky PR, Hoffman B, Aballen L, et al. Sphincter of Oddi dysfunction is associated with chronic pancreatitis 〔Ｊ〕. Am J Gastroenterol, 1997; 92(7)∶1125.
17.	Krishnamurthy S, Krishnamurthy GT. Biliary dyskinesia: role of the sphincter of Oddi; gallbladder and cholecystokinin 〔Ｊ〕. J Nucl Med, 1997; 38(11)∶1824.
18.	Abraham HD, Anderson C, Lee D, et al. Somatization disorder in sphincter of Oddi dysfunction 〔Ｊ〕. Psychosom Med, 1997; 59(5)∶553.
19.	Khuroo MS, Zargar SA, Yattoo GN. Efficacy of nifedipine therapy in patients with sphincter of Oddi dysfunction: a prospective, doubleblind, randomized, placebocontrolled, cross over trial 〔Ｊ〕. Br Clin Pharmacol, 1992; 33(5)∶477.
20.	Geenen J, Hogan WJ, Dodds WJ, et al. The efficacy of endoscopic sphincterotomy after cholecystectomy in patients with sphincter of Oddi dysfunction 〔Ｊ〕. NEJM, 1989; 320(2)∶82.

1. Toouli J. Sphincter of Oddi 〔Ｊ〕. Gastroenterologist， 1996; 4(1)∶44.
2. Coelho JC, Wiederkehr JC. Motility of Oddi′s sphincter: recent developments and clinical applications 〔Ｊ〕. Am J Surg, 1996; 172(7)∶48.
3. Talmage EK, Hillsley K, Kennedy AL, et al. Identification of the cholinergic neurons in guineapig sphincter of Oddi ganglia 〔Ｊ〕. J Auton Nerv Syst, 1997; 64(1)∶12.
4. Funch JP, Ebbenok N. Sphincter of Oddi motility 〔Ｊ〕. Scand J Gastroenterol Suppl, 1996; 216(1)∶46.
5. Abell TL, Werkman RF, Familoni BO, et al. Biliary, pancreatic, and sphincter of Oddi′s electrical and mechanical signals record during ERCP 〔Ｊ〕. Dig Dis Sci, 1998; 43(3)∶540.
6. Simula ME, Harvey JR, Scosti D, et al. In vitro characterization of intramural neural pathways between the duodenum and the sphincter of Oddi of the brashtailed possum 〔Ｊ〕. J Auton Nerv Syst, 1997; 63(1-2)∶77.
7. Coelho JC, Senninger N, Runkel N, et al. Effect of nifedipine on the motility of the sphincter of Oddi and small bowel of the opossum 〔Ｊ〕. Res Exp Med, 1987; 187(1)∶19.
8. Coelho JC, Gouma DJ, Moody FG, et al. Serotonin increases the velocity of propagation and frequent of the migrating myoelectric complexes 〔Ｊ〕. Eur J Clin Invest, 1986; 16(3)∶252.
9. Coelho JC, Senninger N, Runkel N, et al. Effect of analgesic drug on the electromyographic activity of the gastrointestinal tract and sphincter of Oddi and on biliary pressure 〔Ｊ〕. Ann Surg, 1986; 204(1)∶53.
10. Sherman S, Lehman GA. Opioids and the sphincter of Oddi 〔Ｊ〕. Gastrointest Endosc, 1994; 40(1)∶105.
11. Ahrendt SA, Ahrendt GM, Lillemoe KD, et al. Effect of octreotide on sphincter of Oddi and gallbladder motility in prairie dogs 〔Ｊ〕. Am J Physiol, 1992; 262(5Pt1)∶G909.
12. Binmoeller KF, Dumas R, Harris AG, et al. Effect of somatostatin analog octreotide on human sphincter of Oddi 〔Ｊ〕. Dig Dis Sci, 1992; 37(5)∶773.
13. Tzovaras G, Towlands BJ. Diagnosis and treatment of sphincter of Oddi dysfunction 〔Ｊ〕. Br J Surg, 1998; 85(5)∶588.
14. Luman W, Williams AJ, Pryde A, et al. Influence of cholecystectomy on sphincter of Oddi motility 〔Ｊ〕. Gut, 1997; 41(3)∶371.
15. Kalloo AN, Pasricha PJ. Therapy of sphincter of Oddi dysfunction 〔Ｊ〕. Gastrointest Endosc Clin N Am, 1996; 6(1)∶117.
16. Tamasky PR, Hoffman B, Aballen L, et al. Sphincter of Oddi dysfunction is associated with chronic pancreatitis 〔Ｊ〕. Am J Gastroenterol, 1997; 92(7)∶1125.
17. Krishnamurthy S, Krishnamurthy GT. Biliary dyskinesia: role of the sphincter of Oddi; gallbladder and cholecystokinin 〔Ｊ〕. J Nucl Med, 1997; 38(11)∶1824.
18. Abraham HD, Anderson C, Lee D, et al. Somatization disorder in sphincter of Oddi dysfunction 〔Ｊ〕. Psychosom Med, 1997; 59(5)∶553.
19. Khuroo MS, Zargar SA, Yattoo GN. Efficacy of nifedipine therapy in patients with sphincter of Oddi dysfunction: a prospective, doubleblind, randomized, placebocontrolled, cross over trial 〔Ｊ〕. Br Clin Pharmacol, 1992; 33(5)∶477.
20. Geenen J, Hogan WJ, Dodds WJ, et al. The efficacy of endoscopic sphincterotomy after cholecystectomy in patients with sphincter of Oddi dysfunction 〔Ｊ〕. NEJM, 1989; 320(2)∶82.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

ADVANCE AND CLINICAL SIGNIFICANCE IN THE RESEARCH OF ODDI′S SPHINCTER MOTILITY

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