Post-cholecystectomy functional disorders of the sphincter of Oddi after
Abstract
Aim of investigation. To study the results of complex investigation of patients with postcholecystectomy syndrome for the sake of diagnostics of functional disorders of the sphincter of Oddi (SO) and targeted treatment.
Material and methods. Overall 70 patients mainly with biliary colic after cholecystectomy were included in original study. The complex investigation, that included laboratory methods, ultrasound investigation, including that with test meal, endosonography, endoscopic cholangiopancreatography excluded organic changes of pancreatobiliary system. Successful SO manometry was executed in 27 of 32 patients.
Results. Functional SO disorders (spasm of papilla of Vater, hyper- and hypokinetic dyskinesia, increased frequency of contractions, local stenosis of papilla of Vater in combination to sphincter dysfunction) were diagnosed in all patients, who underwent endoscopic SO manometry. Treatment was prescription was differential, spasmolytic and prokinetic drugs were applied.
About the Authors
Yu. M. Pantsyrev
ГОУ ВПО «Российский государственный медицинский университет»
Russian Federation
Russian Federation
S. G. Shapoval’yants
ГОУ ВПО «Российский государственный медицинский университет»
Russian Federation
Russian Federation
S. A. Chernyakevich
ГОУ ВПО «Российский государственный медицинский университет»
Russian Federation
Russian Federation
A. G. Pankov
ГОУ ВПО «Российский государственный медицинский университет»
Russian Federation
Russian Federation
I. V. Babkova
ГОУ ВПО «Российский государственный медицинский университет»
Russian Federation
Russian Federation
S. Yu. Orlov
ГОУ ВПО «Российский государственный медицинский университет»
Russian Federation
Russian Federation
N. V. Zubova
ГОУ ВПО «Российский государственный медицинский университет»
Russian Federation
Russian Federation
References
1. Ильченко А.А. Тактика ведения больного с постхолецистэктомическим синдромом // Гастроэнтерология. – 2009. – № 2. – С. 26–28.
2. Калинин А.В. Функциональные расстройства билиарного тракта и их лечение // Клин. перспективы гастроэнтерол. – 2002. – № 3. – С. 25–34.
3. Панцырев Ю.М., Чернякевич, С.А., Галлингер Ю.И. и др. Значение эндоскопической холедоходуоденоманометрии в диагностике стеноза большого дуоденального сосочка // Хирургия. – 1987. – № 12. – С. 98–102.
4. Furqaan A., Fogel E. Боль в правом подреберье и нормальная картина при абдоминальном ультразвуковом исследовании // Клин. гастроэнтерол. и гепатол.: Русское издание. – 2009. – Т. 2, № 1. – С. 87–90.
5. Geenen J.E. et al. Intraluminal pussure recording from the human sphincter of Oddi // Gastroenterology. – 1980. – Vol. 78. – P. 317–324.
6. Hogan W.J., Geenen J.E. Biliary dyskinesia // Endoscopy. – 1988. – Vol. 20, N 1. – P. 179–183.
7. Toouli J. et al. Manometric disorders in patients with suspected sphincter of Oddi dysfunction. // Gastroenterology. – 1985. – Vol. 88. – P. 1243–1250
8. Tzovazas G., Rowlands B.J. The diagnosis and treatment dysfunction of the sphincter Oddy // Br. Chir. J. – 2002. – Vol. 20. – P. 120–125.
Review
For citations:
Pantsyrev Yu.M., Shapoval’yants S.G., Chernyakevich S.A., Pankov A.G., Babkova I.V., Orlov S.Yu., Zubova N.V. Post-cholecystectomy functional disorders of the sphincter of Oddi after. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2011;21(3):28-34. (In Russ.)
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