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• W3160483384 abstract "Background/Aims: The short-term perendoscopic manometry of the sphincter of Oddi(SO) may not be representative of overall SO motility. In an attempt to overcomc this limitation, we performed SO manometry using a motility catheter placed via a percutaneous transhepatic biliary drainage catheter in patients with intrahepatic duct stones who had undergone percutaneous transhepatic cholangioscopic lithotripsy. Methods: Long-term recording of percutaneous transhepatic manometry of SO(PTMSO) were performed to 15 of 19 patients, during fasting and after feeding. Results: The mean recording time was 90.0 ' 45.0 min(total: 1,628 min) during fasting and 77.0 23. L min(total: 1,156 min) after feeding. The frequency of contractions of SO in basal fasting conditions varied from 0 to 13/min(mean ' SD: 3.2 l.4/min), and high frequency contractions (HFC; frequency 8/min, duration >2 mins) were observed in l 1 patients from a total of 16 occasions without biliary pain. The mean duration of HFCs and mean interval between HFCs were 4.8 ' l.l min and 72.0 12.4 min respectively. The motility of SO was suppressed by food intake for up to 30min after feeding. In 4 patients, antroduodenal manometry via transnasal route and PTMSO was recorded simultaneously with the total recording time of 926 min. The HFCs of SO were recorded 20 times with 4.5 min of mean durations and 46 min of mean intervals. Migrating motor complexes(MMC.) were recorded in the antroduodenum simultaneously. All occasions of HFCs of SO(20) coincided completely with the phase III of the duodenal MMCs. Conclusions: In fasting, HFCs of SO were frequently observed periodically without biliary pain and completely coincided with the phase III of duodenal MMCs. This finding suggests that some cases of HFCs, previously regarded as tachyoddia' in SO dysfunction by using endoscopically placed motility catheter, may not he the true tachyoddia in SO dysfunction. (Korean J Gastroenterol 1995;27:423 432)" @default.
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• W3160483384 date "1995-01-01" @default.
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• W3160483384 title "공복 및 식후 장기간 경피경간적 Oddi 괄약근 내압검사" @default.
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