Endoscopic manometry of the sphincter of Oddi in patients with Lemmel’s syndrome

Surgery Today ◽  
1998 ◽  
Vol 28 (3) ◽  
pp. 258-261 ◽  
Author(s):  
Ryouichi Tomita ◽  
Katsuhisa Tanjoh
1994 ◽  
Vol 29 (2) ◽  
pp. 188-192 ◽  
Author(s):  
H. Vestergaard ◽  
A. Kruse ◽  
M. Rokkjær ◽  
O. Frøbert ◽  
P. Thommesen ◽  
...  

1996 ◽  
Vol 43 (4) ◽  
pp. 394 ◽  
Author(s):  
H. Sato ◽  
S. Mitsufuji ◽  
J. Takaaki ◽  
Y. Tatsumi ◽  
T. Maeda ◽  
...  

2021 ◽  
pp. 4-5
Author(s):  
J S Harish reddy ◽  
Chunduri V V Vikranth ◽  
Shanmuaganathan S ◽  
Ganesh P

Lemmel’s syndrome is a rare pancreaticobiliary complication of duodenal diverticula. It occurs when a duodenal diverticulum causes obstructive jaundice due to a mechanical obstruction of the common bile duct. Other mechanisms like sphincter of Oddi dysfunction can also play a role in pathophysiology. We report three cases of Lemmel’s syndrome where liver biochemistry showed obstructive jaundice; but subsequent MRCP showed a massive periampullary diverticulum causing biliary obstruction. Early detection and intervention can prevent needless additional investigations and complications due to obstruction.


1996 ◽  
Vol 19 (3) ◽  
pp. 191-195
Author(s):  
Milenko Uglješić ◽  
Mirko Bulajić ◽  
Tomica Milosavljević ◽  
Bojan Štimec

Gut ◽  
1997 ◽  
Vol 41 (4) ◽  
pp. 541-544 ◽  
Author(s):  
H Sato ◽  
T Kodama ◽  
J Takaaki ◽  
Y Tatsumi ◽  
T Maeda ◽  
...  

Background—Endoscopic papillary balloon dilatation (EPBD) has been reported as a safe and effective alternative to endoscopic sphincterotomy in the management of common bile duct (CBD) stones; its effect on papillary function has yet to be elucidated.Aim—To investigate sphincter of Oddi (SO) motility before and after EPBD to determine its effect on SO function.Patients and methods—The papillary function of 10 patients with CBD stones was studied using endoscopic manometry before and one week after EPBD. The manometric studies were repeated one month after EPBD in seven patients.Results—One week after EPBD, CBD pressure, SO peak pressure, SO basal pressure, and SO frequency decreased significantly. One month after EPBD, however, all parameters increased although the increases in SO basal pressure and CBD pressure were not significant. There was no significant difference in values of any parameter before and one month after EPBD. No serious complications occurred.Conclusion—These data suggest at least partial recovery of papillary function one month after the procedure. EPBD seems to preserve papillary function in treatment of CBD stones; a longer term follow up study with SO manometry should be performed to clarify the effect of EPBD on SO function.


Endoscopy ◽  
1991 ◽  
Vol 23 (05) ◽  
pp. 255-258 ◽  
Author(s):  
T. Ochi ◽  
S. Nakazawa ◽  
Y. Naito ◽  
Y. Tsukamoto

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