Skip to main content
NCBI home page
Gut logoLink to Gut
. 1988 Jan;29(1):121–125. doi: 10.1136/gut.29.1.121

Manometric measurement of human sphincter of Oddi length.

F I Habib 1, E Corazziari 1, D Biliotti 1, L Primerano 1, A Viscardi 1, V Speranza 1, E De Masi 1, G Fegiz 1, A Torsoli 1
PMCID: PMC1433253  PMID: 3343005

Abstract

Length of biliary (CBD) and/or pancreatic (PD) sphincter of Oddi (SO) was measured during perendoscopic or intraoperative manometry in 21 control subjects and in 46 patients with biliary disease. When the high resting pressure (HPZ) and the phasic wave zone (PAZ) were considered, SO length was, in the control group, 9.5 +/- 0.5 mm (M +/- SE) and 9.4 +/- 0.6 mm at the level of the CBD-SO, and 7.7 +/- 0.6 mm and 6.9 +/- 0.5 mm at the level of the PD-SO. The physiological sphincter length appeared substantially shorter than the anatomical one, as reported in the literature. No significant differences were found between controls and patients with CBD stones. Endoscopic sphincterotomy without manometry reduced mean sphincter length length of the sphincterotomy was tailored to the manometric findings. Surgical partial sphincterotomy reduced sphincter length by only 46.7 +/- 10.3%.

Full text

PDF
121

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BOYDEN E. A. The anatomy of the choledochoduodenal junction in man. Surg Gynecol Obstet. 1957 Jun;104(6):641–652. [PubMed] [Google Scholar]
  2. Barraya L., Pujol Soler R., Yvergneaux J. P. La région oddienne: anatomie millimétrique. Presse Med. 1971 Dec 25;79(55):2527–2534. [PubMed] [Google Scholar]
  3. Carr-Locke D. L., Gregg J. A. Endoscopic manometry of pancreatic and biliary sphincter zones in man. Basal results in healthy volunteers. Dig Dis Sci. 1981 Jan;26(1):7–15. doi: 10.1007/BF01307970. [DOI] [PubMed] [Google Scholar]
  4. De Masi E., Corazziari E., Habib F. I., Fontana B., Gatti V., Fegiz G. F., Torsoli A. Manometric study of the sphincter of Oddi in patients with and without common bile duct stones. Gut. 1984 Mar;25(3):275–278. doi: 10.1136/gut.25.3.275. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Geenen J. E., Hogan W. J., Dodds W. J., Stewart E. T., Arndorfer R. C. Intraluminal pressure recording from the human sphincter of Oddi. Gastroenterology. 1980 Feb;78(2):317–324. [PubMed] [Google Scholar]
  6. HAND B. H. An anatomical study of the choledochoduodenal area. Br J Surg. 1963 Mar;50:486–494. doi: 10.1002/bjs.18005022303. [DOI] [PubMed] [Google Scholar]
  7. RETTORI R. Etude morphologique du système musculaire de la jonction cholédoco-pancréatico-duodénale et bases anatomiques de la section du sphincter d'Oddi. Presse Med. 1956 Jun 27;64(51):1208–1211. [PubMed] [Google Scholar]
  8. Speranza V., Lezoche E., Minervini S., Carlei F., Basso N., Simi M. Transduodenal papillostomy as a routine procedure in managing choledocholithiasis. Arch Surg. 1982 Jul;117(7):875–877. doi: 10.1001/archsurg.1982.01380310001001. [DOI] [PubMed] [Google Scholar]
  9. Suarez C. V. Structure of the major duodenal papilla. Mt Sinai J Med. 1982 Jan-Feb;49(1):31–37. [PubMed] [Google Scholar]
  10. Toouli J., Geenen J. E., Hogan W. J., Dodds W. J., Arndorfer R. C. Sphincter of Oddi motor activity: a comparison between patients with common bile duct stones and controls. Gastroenterology. 1982 Jan;82(1):111–117. [PubMed] [Google Scholar]

Articles from Gut are provided here courtesy of BMJ Publishing Group

RESOURCES