Korean J Gastroenterol.  2007 Mar;49(3):131-138.

Percutaneous Transhepatic Biliary Manometry

• Kim JH

Abstract

Perendoscopic biliary manometry may not represent the overall sphincter of Oddi (SO) motility, as the recording time is relatively short and it is possibly influenced by the presence of an endoscope in duodenum and air inflation. Percutaneous transhepatic biliary manometry of SO permits long-term recordings without patient discomfort and risk of complications. We investigated the change of human SO motility and the correlation between SO motility and migrating motor complex (MMC) of the small bowel in a fasting state by long-term simultaneous manometric examination of SO and small bowel. During long-term manometry, MMC-like cyclic activities of SO were observed, which consiered to be MMC of SO. It coordinated well with MMC of the small bowel, except that SO was not quiescent during phase I MMC of the small bowel. In addition, the basal pressure of SO changed in accordance with the phases of SO motility. Percutaneous transhepatic biliary manometry also permits prolonged manometric studies to investigate normal physiologic reflexes such as gastroduodeno-sphincteric, cholecysto-sphincteric and choledocho-sphincteric reflexes, and the influence of cholecystectomy on SO motility in humans.

Keyword

Sphincter of Oddi; Motility; Biliary manometry; Percutaneous manometry; Migrating motor complex

MeSH Terms

Biliary Dyskinesia/*diagnosis/physiopathology
Female
Gastrointestinal Motility
Humans
Male
Manometry/*methods
Middle Aged
Muscle Contraction
Myoelectric Complex, Migrating
Pressure
Sphincter of Oddi/*physiopathology
Time Factors