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 |
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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 |
format | Article |
fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_journals_1442601287</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A714585567</galeid><sourcerecordid>A714585567</sourcerecordid><originalsourceid>FETCH-LOGICAL-c463t-f8bf0718b3d339e8baf319a01d35936dbcf403db0f952b395978c777c36befb83</originalsourceid><addsrcrecordid>eNp1kUuPFCEUhYnROO3oD3BjKnHNeCmgKJaTiaMmk8xCXROeLZMuaIGK9r-XTs_4iBoWJPee73AvB6GXBC4IgHhTATjlGMiIQRDA8AhtCOsVLsfxMdqAZAwTItgZelbrHQChwOen6GykRMgJ5AatH_dfYrLNlyGH4da5OCw65cW3chjWGtN22K7RefwtFo_bYe8f-p2IdQhe12h2fgi5DP67XmLSLeZ0dKt_W-cWd7EdnqMnQe-qf3F_n6PP128_Xb3HN7fvPlxd3mDLJtpwmE3oi82GOkqln40OlEgNxFEu6eSMDQyoMxAkHw2VXIrZCiEsnYwPZqbn6PXJd1_y19XXpu7yWlJ_UhHGxqn_3Cx-qbZ651VMIbei7RKrVZeCMD5zPh1VF_9Q9eP8Em1OPsRe_wMgJ8CWXGvxQe1LXHQ5KALqmJ865af6FOqYn4LOvLofeDWLdz-Jh8C6YDwJam-lrS-_bfRf1x9cz6VS</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1442601287</pqid></control><display><type>article</type><title>Sphincter of Oddi manometry using guide-wire-type manometer is feasible for examination of sphincter of Oddi motility</title><source>MEDLINE</source><source>SpringerNature Journals</source><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</creator><creatorcontrib>Kakuyama, Saori ; Nobutani, Kentaro ; Masuda, Atsuhiro ; Shiomi, Hideyuki ; Sanuki, Tsuyoshi ; Sugimoto, Maki ; Yoshida, Masaru ; Arisaka, Yoshifumi ; Fujita, Tsuyoshi ; Hayakumo, Takanobu ; Azuma, Takeshi ; Kutsumi, Hiromu</creatorcontrib><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><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 & 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 & 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 ; Nobutani, Kentaro ; Masuda, Atsuhiro ; Shiomi, Hideyuki ; Sanuki, Tsuyoshi ; Sugimoto, Maki ; Yoshida, Masaru ; Arisaka, Yoshifumi ; Fujita, Tsuyoshi ; Hayakumo, Takanobu ; Azuma, Takeshi ; Kutsumi, Hiromu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c463t-f8bf0718b3d339e8baf319a01d35936dbcf403db0f952b395978c777c36befb83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Abdominal Surgery</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Area Under Curve</topic><topic>Biliary Tract</topic><topic>Colorectal Surgery</topic><topic>Diagnosis</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Japan</topic><topic>Male</topic><topic>Manometry - instrumentation</topic><topic>Manometry - methods</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine & 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 & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Journal of gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kakuyama, Saori</au><au>Nobutani, Kentaro</au><au>Masuda, Atsuhiro</au><au>Shiomi, Hideyuki</au><au>Sanuki, Tsuyoshi</au><au>Sugimoto, Maki</au><au>Yoshida, Masaru</au><au>Arisaka, Yoshifumi</au><au>Fujita, Tsuyoshi</au><au>Hayakumo, Takanobu</au><au>Azuma, Takeshi</au><au>Kutsumi, Hiromu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sphincter of Oddi manometry using guide-wire-type manometer is feasible for examination of sphincter of Oddi motility</atitle><jtitle>Journal of gastroenterology</jtitle><stitle>J Gastroenterol</stitle><addtitle>J Gastroenterol</addtitle><date>2013-10-01</date><risdate>2013</risdate><volume>48</volume><issue>10</issue><spage>1144</spage><epage>1150</epage><pages>1144-1150</pages><issn>0944-1174</issn><eissn>1435-5922</eissn><abstract>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.</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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source | MEDLINE; SpringerNature Journals |
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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