Motor pattern of the sphincter of Oddi in patients with juxtapapillary diverticula.
In 15 patients with duodenal diverticula close to the papilla of Vater we evaluated the motor activity of the sphincter of Oddi by endoscopic biliary manometry. Both basal pressure and phasic activity were similar to those in nine patients without biliopancreatic disease and in 60 patients with common bile duct stones. The anatomical relationship between the papilla and diverticula did not lead to any change in the motor pattern. If juxtapapillary diverticula are associated with a higher prevalence of biliopancreatic disease, dysfunction of the sphincter of Oddi does not seem to play a pathogenic role.
Ponce
J
J
Gastroenterology Unit, Hospital La Fe, Valencia, Spain.
Garrigues
V
V
Sala
T
T
Pertejo
V
V
del Val
A
A
Hoyos
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D014670:Ampulla of Vater / Q000503:physiopathology*; D001657:Biliary Dyskinesia; D001660:Biliary Tract Diseases / Q000503:physiopathology*; D004240:Diverticulum / Q000503:physiopathology*; D004378:Duodenal Diseases / Q000503:physiopathology*; D005260:Female; D042882:Gallstones / Q000503:physiopathology; D006801:Humans; D008297:Male; D008365:Manometry; D008875:Middle Aged; D009043:Motor Activity; D010182:Pancreatic Diseases / Q000503:physiopathology*; D009803:Sphincter of Oddi / Q000033:anatomy & histology / Q000503:physiopathology*