Korean J Gastroenterol.  2009 Jun;53(6):333-335. 10.4166/kjg.2009.53.6.333.

Pancreatic Sphincter of Oddi Dysfunction

• Han J
• Kim HG

• KMID: 1792748
• DOI: http://doi.org/10.4166/kjg.2009.53.6.333

Abstract

No abstract available.

MeSH Terms

Adult
Cholangiopancreatography, Endoscopic Retrograde
Female
Humans
Manometry
Pancreatic Ducts/*physiopathology/radiography/surgery
Sphincter of Oddi Dysfunction/*diagnosis/physiopathology/radiography
Tomography, X-Ray Computed

Figure

• 

  Fig. 1. Contrast-enhanced CT finding of the patient. Pancreas was normal looking without edema, peripancreatic infiltration, or fluid collection.

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  Fig. 2. Endoscopic retrograde cho-langiopancreatography findings. (A) Major duodenal papilla looked normal. (B) Pancreatogram showed unremarkable finding. (C) Sphincter of Oddi manometry was performed with a catheter placed in-side the main pancreatic duct. (D) After withdrawal of the manometry device, pancreatic stent (5Fr 3 cm) was placed.

• 

  Fig. 3. Sphincter of Oddi manometry finding. Basal pressure of pancreatic sphincter was higher than 40 mmHg, which was diagnostic of sphincter of Oddi dysfunction. Frequent tonic con-tractions were seen. The highest altitude was 502 mmHg.

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  Fig. 4. Endoscopic treatment with pancreatic sphincterotomy. (A) Using a pull-type papillotome, pancreatic sphincter was cut. (B) Pancreatic duct orifice was exposed after pancreatic sphincterotomy.

Reference

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