The diagnosis of hypertonic Oddi's sphincter dyskinesia.
The diagnostic possibility of hypertonic Oddi's sphincter dysfunction was evaluated in 100 cholecystectomized and 28 noncholecystectomized patients. An organic lesion interfering with free bile flow was ruled out in every case. The existence of the syndrome, i.e., the dysfunction of the Oddi's musculature, was verified using the morphine-choleretic test combined with either dynamic hepatobiliary scintigraphy or (in selected cases) percutaneous transhepatic cholangiography. Hypertonic Oddi's sphincter dyskinesia can be regarded as an independent clinical syndrome.
D014670:Ampulla of Vater; D000681:Amylases / Q000097:blood; D001219:Aspartate Aminotransferases / Q000097:blood; D002763:Cholecystectomy / Q000009:adverse effects; D003137:Common Bile Duct Diseases / Q000175:diagnosis; D003685:Dehydrocholic Acid; D006801:Humans; D007098:Imino Acids; D009020:Morphine; D009069:Movement Disorders / Q000175:diagnosis*; D009122:Muscle Hypertonia / Q000175:diagnosis*; D011183:Postoperative Complications / Q000175:diagnosis; D011859:Radiography; D009803:Sphincter of Oddi / Q000000981:diagnostic imaging; D013577:Syndrome; D013667:Technetium; D019780:Technetium Tc 99m Lidofenin; D005723:gamma-Glutamyltransferase / Q000097:blood
D007098:Imino Acids; D019780:Technetium Tc 99m Lidofenin; D013667:Technetium; D009020:Morphine; D005723:gamma-Glutamyltransferase; D001219:Aspartate Aminotransferases; D000681:Amylases; D003685:Dehydrocholic Acid