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KMID : 0359019950150040678
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Korean Journal of Gastrointestinal Endoscopy
1995 Volume.15 No. 4 p.678 ~ p.685
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Reproducibility of Percutaneous Sphincter of Oddi Manometry
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김명환
고문수/유병무/이미화/최호순/이성구/김석균/송일환/박선미
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Abstract
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To assess the reproducibility of Sphincter of Oddi(SO) manometry, percutaneous manometry of SO was performed repeatedly in 10 subjects with biliary diseases(9 intrahepatic stone cases and 1 bile duct cancer case). Time interval for measurement of
SO
manometry was 3 to 7(mean 5) days.
Mean manometric parameters of SO phasic contraction in the 1st and 2nd studies were not significantly different. However, as a result of manometric records, a diagnosis of dyskinesia was made in the 1st study from 4 patients(tachyoddia in 3 cases
and
increased retrograde propagation in one case). Among them, the diagnosis was reproduced in the 2nd study from 2(tachyoddia in 2 cases) out 4 patients.
In conclusion, abnormal manometric findings were poorly reproducible, Thus, more prolonged measurement of SO manometry or a dynamic test which stimuli or inhibit the SO activity may be necessary for accurate diagnosis of biliary dyskinesia and
better
reproducibility of SO manometry. (Kor J Gastrointest Endosc 15: 678~685, 1995)
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