Document Detail


Biliary pressure variation in coordination with migrating motor complex of duodenum in patients with cholecystectomy and effects of morphine and cerulein.
MedLine Citation:
PMID:  1395999     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pressures in the common bile duct and duodenum were continuously measured with two pressure microtransducers placed by endoscopy in 10 postcholecystectomy patients. A complete cycle of the migrating motor complex of the duodenum was obtained in seven patients, its length ranging from 62 to 174 min with a mean of 114 min. The biliary pressure showed a transient elevation of 5.0 +/- 0.6 (mean +/- SEM) mm Hg (P < 0.001) in concert with phase III of the duodenal cycle in all 10 patients, whereas it remained stable during other phases. Intramuscular morphine (0.2 mg/kg) given to induce spasm of the sphincter of Oddi 20 min after the passage of phase III invariably produced an activity front in the duodenum and a sustained increase in the biliary pressure, the magnitude of which was 8.3 +/- 0.9 mm Hg. The biliary pressure raised by morphine dropped after an intravenous injection of cerulein (0.1 microgram/kg) as a sphincter relaxant. These findings indicate that the biliary pressure rises transiently at phase III of the duodenal cycle in patients after cholecystectomy, probably due to contractions of the sphincter of Oddi.
Authors:
Y Ogawa; M Tanaka
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Digestive diseases and sciences     Volume:  37     ISSN:  0163-2116     ISO Abbreviation:  Dig. Dis. Sci.     Publication Date:  1992 Oct 
Date Detail:
Created Date:  1992-11-16     Completed Date:  1992-11-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7902782     Medline TA:  Dig Dis Sci     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1531-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery I, Kyushu University, Faculty of Medicine, Fukuoka, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Caerulein / pharmacology*
Cholecystectomy*
Common Bile Duct / drug effects,  physiology*
Duodenum / drug effects,  physiology*
Female
Humans
Injections, Intramuscular
Injections, Intravenous
Male
Manometry / methods
Middle Aged
Morphine / pharmacology*
Myoelectric Complex, Migrating / drug effects,  physiology*
Pressure
Chemical
Reg. No./Substance:
17650-98-5/Caerulein; 57-27-2/Morphine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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