Sphincter of Oddi manometry using guide-wire-type manometer is feasible for examination of sphincter of Oddi motility

Background Sphincter of Oddi manometry (SOM) is recognized as the standard diagnostic modality for sphincter of Oddi dysfunction (SOD). However, SOM is not commonly performed because of its technical difficulty and the high incidence of post-procedural pancreatitis. To diminish post-procedural pancr...

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Veröffentlicht in:Journal of gastroenterology 2013-10, Vol.48 (10), p.1144-1150
Hauptverfasser: Kakuyama, Saori, Nobutani, Kentaro, Masuda, Atsuhiro, Shiomi, Hideyuki, Sanuki, Tsuyoshi, Sugimoto, Maki, Yoshida, Masaru, Arisaka, Yoshifumi, Fujita, Tsuyoshi, Hayakumo, Takanobu, Azuma, Takeshi, Kutsumi, Hiromu
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container_end_page 1150
container_issue 10
container_start_page 1144
container_title Journal of gastroenterology
container_volume 48
creator Kakuyama, Saori
Nobutani, Kentaro
Masuda, Atsuhiro
Shiomi, Hideyuki
Sanuki, Tsuyoshi
Sugimoto, Maki
Yoshida, Masaru
Arisaka, Yoshifumi
Fujita, Tsuyoshi
Hayakumo, Takanobu
Azuma, Takeshi
Kutsumi, Hiromu
description Background Sphincter of Oddi manometry (SOM) is recognized as the standard diagnostic modality for sphincter of Oddi dysfunction (SOD). However, SOM is not commonly performed because of its technical difficulty and the high incidence of post-procedural pancreatitis. To diminish post-procedural pancreatitis, we tried to develop a new method of SOM. This study examined the feasibility of SOM with a guide-wire-type manometer, which is commonly used to measure the arterial pressure for coronary angiography, for the assessment of SO motility. Methods A total of 35 procedures were performed in 8 patients with biliary type III SOD and 14 patients with other disease. We performed SOM using the guide-wire-type manometer on SOD cases and other cases [amplitude, duration, frequency and the area under the curve (AUC) of SO contractions]. Results The mean time required for the measurement was 7.5 ± 4.1 min. The amplitude, frequency and AUC of SO contractions were significantly larger in the SOD cases than in other diseases (147.2 vs. 92.8 mmHg, p  = 0.042; 10 vs. 5/min, p  = 0.007; 2,837 vs. 1,122 mmHg s, p  = 0.003, respectively). In 6 patients who underwent endoscopic sphincterotomy (EST), the SO amplitude decreased dramatically after EST. In this study, mild pancreatitis was observed in only one patient. Conclusions SOM using a guide-wire-type manometer is safe, reliable and easy to apply for the clinical assessment of SO motility. The guide-wire-type manometer may become a new method to measure SO function for the diagnosis of SOD.
doi_str_mv 10.1007/s00535-012-0710-0
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However, SOM is not commonly performed because of its technical difficulty and the high incidence of post-procedural pancreatitis. To diminish post-procedural pancreatitis, we tried to develop a new method of SOM. This study examined the feasibility of SOM with a guide-wire-type manometer, which is commonly used to measure the arterial pressure for coronary angiography, for the assessment of SO motility. Methods A total of 35 procedures were performed in 8 patients with biliary type III SOD and 14 patients with other disease. We performed SOM using the guide-wire-type manometer on SOD cases and other cases [amplitude, duration, frequency and the area under the curve (AUC) of SO contractions]. Results The mean time required for the measurement was 7.5 ± 4.1 min. The amplitude, frequency and AUC of SO contractions were significantly larger in the SOD cases than in other diseases (147.2 vs. 92.8 mmHg, p  = 0.042; 10 vs. 5/min, p  = 0.007; 2,837 vs. 1,122 mmHg s, p  = 0.003, respectively). In 6 patients who underwent endoscopic sphincterotomy (EST), the SO amplitude decreased dramatically after EST. In this study, mild pancreatitis was observed in only one patient. Conclusions SOM using a guide-wire-type manometer is safe, reliable and easy to apply for the clinical assessment of SO motility. The guide-wire-type manometer may become a new method to measure SO function for the diagnosis of SOD.</description><identifier>ISSN: 0944-1174</identifier><identifier>EISSN: 1435-5922</identifier><identifier>DOI: 10.1007/s00535-012-0710-0</identifier><identifier>PMID: 23179609</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Abdominal Surgery ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Area Under Curve ; Biliary Tract ; Colorectal Surgery ; Diagnosis ; Feasibility Studies ; Female ; Gastroenterology ; Hepatology ; Humans ; Japan ; Male ; Manometry - instrumentation ; Manometry - methods ; Medical research ; Medicine ; Medicine &amp; Public Health ; Medicine, Experimental ; Middle Aged ; Original Article—Liver ; Pancreas ; Pancreatitis ; Sphincter of Oddi - physiopathology ; Sphincter of Oddi Dysfunction - diagnosis ; Sphincter of Oddi Dysfunction - physiopathology ; Surgical Oncology ; Young Adult</subject><ispartof>Journal of gastroenterology, 2013-10, Vol.48 (10), p.1144-1150</ispartof><rights>Springer Japan 2012</rights><rights>COPYRIGHT 2013 Springer</rights><rights>Springer Japan 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c463t-f8bf0718b3d339e8baf319a01d35936dbcf403db0f952b395978c777c36befb83</citedby><cites>FETCH-LOGICAL-c463t-f8bf0718b3d339e8baf319a01d35936dbcf403db0f952b395978c777c36befb83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00535-012-0710-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00535-012-0710-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,782,786,27931,27932,41495,42564,51326</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23179609$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kakuyama, Saori</creatorcontrib><creatorcontrib>Nobutani, Kentaro</creatorcontrib><creatorcontrib>Masuda, Atsuhiro</creatorcontrib><creatorcontrib>Shiomi, Hideyuki</creatorcontrib><creatorcontrib>Sanuki, Tsuyoshi</creatorcontrib><creatorcontrib>Sugimoto, Maki</creatorcontrib><creatorcontrib>Yoshida, Masaru</creatorcontrib><creatorcontrib>Arisaka, Yoshifumi</creatorcontrib><creatorcontrib>Fujita, Tsuyoshi</creatorcontrib><creatorcontrib>Hayakumo, Takanobu</creatorcontrib><creatorcontrib>Azuma, Takeshi</creatorcontrib><creatorcontrib>Kutsumi, Hiromu</creatorcontrib><title>Sphincter of Oddi manometry using guide-wire-type manometer is feasible for examination of sphincter of Oddi motility</title><title>Journal of gastroenterology</title><addtitle>J Gastroenterol</addtitle><addtitle>J Gastroenterol</addtitle><description>Background Sphincter of Oddi manometry (SOM) is recognized as the standard diagnostic modality for sphincter of Oddi dysfunction (SOD). However, SOM is not commonly performed because of its technical difficulty and the high incidence of post-procedural pancreatitis. To diminish post-procedural pancreatitis, we tried to develop a new method of SOM. This study examined the feasibility of SOM with a guide-wire-type manometer, which is commonly used to measure the arterial pressure for coronary angiography, for the assessment of SO motility. Methods A total of 35 procedures were performed in 8 patients with biliary type III SOD and 14 patients with other disease. We performed SOM using the guide-wire-type manometer on SOD cases and other cases [amplitude, duration, frequency and the area under the curve (AUC) of SO contractions]. Results The mean time required for the measurement was 7.5 ± 4.1 min. The amplitude, frequency and AUC of SO contractions were significantly larger in the SOD cases than in other diseases (147.2 vs. 92.8 mmHg, p  = 0.042; 10 vs. 5/min, p  = 0.007; 2,837 vs. 1,122 mmHg s, p  = 0.003, respectively). In 6 patients who underwent endoscopic sphincterotomy (EST), the SO amplitude decreased dramatically after EST. In this study, mild pancreatitis was observed in only one patient. Conclusions SOM using a guide-wire-type manometer is safe, reliable and easy to apply for the clinical assessment of SO motility. The guide-wire-type manometer may become a new method to measure SO function for the diagnosis of SOD.</description><subject>Abdominal Surgery</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Area Under Curve</subject><subject>Biliary Tract</subject><subject>Colorectal Surgery</subject><subject>Diagnosis</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Japan</subject><subject>Male</subject><subject>Manometry - instrumentation</subject><subject>Manometry - methods</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Medicine, Experimental</subject><subject>Middle Aged</subject><subject>Original Article—Liver</subject><subject>Pancreas</subject><subject>Pancreatitis</subject><subject>Sphincter of Oddi - physiopathology</subject><subject>Sphincter of Oddi Dysfunction - diagnosis</subject><subject>Sphincter of Oddi Dysfunction - physiopathology</subject><subject>Surgical Oncology</subject><subject>Young Adult</subject><issn>0944-1174</issn><issn>1435-5922</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kUuPFCEUhYnROO3oD3BjKnHNeCmgKJaTiaMmk8xCXROeLZMuaIGK9r-XTs_4iBoWJPee73AvB6GXBC4IgHhTATjlGMiIQRDA8AhtCOsVLsfxMdqAZAwTItgZelbrHQChwOen6GykRMgJ5AatH_dfYrLNlyGH4da5OCw65cW3chjWGtN22K7RefwtFo_bYe8f-p2IdQhe12h2fgi5DP67XmLSLeZ0dKt_W-cWd7EdnqMnQe-qf3F_n6PP128_Xb3HN7fvPlxd3mDLJtpwmE3oi82GOkqln40OlEgNxFEu6eSMDQyoMxAkHw2VXIrZCiEsnYwPZqbn6PXJd1_y19XXpu7yWlJ_UhHGxqn_3Cx-qbZ651VMIbei7RKrVZeCMD5zPh1VF_9Q9eP8Em1OPsRe_wMgJ8CWXGvxQe1LXHQ5KALqmJ865af6FOqYn4LOvLofeDWLdz-Jh8C6YDwJam-lrS-_bfRf1x9cz6VS</recordid><startdate>20131001</startdate><enddate>20131001</enddate><creator>Kakuyama, Saori</creator><creator>Nobutani, Kentaro</creator><creator>Masuda, Atsuhiro</creator><creator>Shiomi, Hideyuki</creator><creator>Sanuki, Tsuyoshi</creator><creator>Sugimoto, Maki</creator><creator>Yoshida, Masaru</creator><creator>Arisaka, Yoshifumi</creator><creator>Fujita, Tsuyoshi</creator><creator>Hayakumo, Takanobu</creator><creator>Azuma, Takeshi</creator><creator>Kutsumi, Hiromu</creator><general>Springer Japan</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20131001</creationdate><title>Sphincter of Oddi manometry using guide-wire-type manometer is feasible for examination of sphincter of Oddi motility</title><author>Kakuyama, Saori ; 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Public Health</topic><topic>Medicine, Experimental</topic><topic>Middle Aged</topic><topic>Original Article—Liver</topic><topic>Pancreas</topic><topic>Pancreatitis</topic><topic>Sphincter of Oddi - physiopathology</topic><topic>Sphincter of Oddi Dysfunction - diagnosis</topic><topic>Sphincter of Oddi Dysfunction - physiopathology</topic><topic>Surgical Oncology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kakuyama, Saori</creatorcontrib><creatorcontrib>Nobutani, Kentaro</creatorcontrib><creatorcontrib>Masuda, Atsuhiro</creatorcontrib><creatorcontrib>Shiomi, Hideyuki</creatorcontrib><creatorcontrib>Sanuki, Tsuyoshi</creatorcontrib><creatorcontrib>Sugimoto, Maki</creatorcontrib><creatorcontrib>Yoshida, Masaru</creatorcontrib><creatorcontrib>Arisaka, Yoshifumi</creatorcontrib><creatorcontrib>Fujita, Tsuyoshi</creatorcontrib><creatorcontrib>Hayakumo, Takanobu</creatorcontrib><creatorcontrib>Azuma, Takeshi</creatorcontrib><creatorcontrib>Kutsumi, Hiromu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; 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However, SOM is not commonly performed because of its technical difficulty and the high incidence of post-procedural pancreatitis. To diminish post-procedural pancreatitis, we tried to develop a new method of SOM. This study examined the feasibility of SOM with a guide-wire-type manometer, which is commonly used to measure the arterial pressure for coronary angiography, for the assessment of SO motility. Methods A total of 35 procedures were performed in 8 patients with biliary type III SOD and 14 patients with other disease. We performed SOM using the guide-wire-type manometer on SOD cases and other cases [amplitude, duration, frequency and the area under the curve (AUC) of SO contractions]. Results The mean time required for the measurement was 7.5 ± 4.1 min. The amplitude, frequency and AUC of SO contractions were significantly larger in the SOD cases than in other diseases (147.2 vs. 92.8 mmHg, p  = 0.042; 10 vs. 5/min, p  = 0.007; 2,837 vs. 1,122 mmHg s, p  = 0.003, respectively). In 6 patients who underwent endoscopic sphincterotomy (EST), the SO amplitude decreased dramatically after EST. In this study, mild pancreatitis was observed in only one patient. Conclusions SOM using a guide-wire-type manometer is safe, reliable and easy to apply for the clinical assessment of SO motility. The guide-wire-type manometer may become a new method to measure SO function for the diagnosis of SOD.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>23179609</pmid><doi>10.1007/s00535-012-0710-0</doi><tpages>7</tpages></addata></record>
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subjects Abdominal Surgery
Adolescent
Adult
Aged
Aged, 80 and over
Area Under Curve
Biliary Tract
Colorectal Surgery
Diagnosis
Feasibility Studies
Female
Gastroenterology
Hepatology
Humans
Japan
Male
Manometry - instrumentation
Manometry - methods
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Middle Aged
Original Article—Liver
Pancreas
Pancreatitis
Sphincter of Oddi - physiopathology
Sphincter of Oddi Dysfunction - diagnosis
Sphincter of Oddi Dysfunction - physiopathology
Surgical Oncology
Young Adult
title Sphincter of Oddi manometry using guide-wire-type manometer is feasible for examination of sphincter of Oddi motility
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