Document Detail


Choledochoscope manometry about different drugs on the Sphincter of Oddi.
MedLine Citation:
PMID:  18855992     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To assess the effects of H(2)-receptor blocking pharmacon, protease inhibitor, and gastro kinetic agents on the human Sphincter of Oddi (SO) motility by choledochoscope manometry. METHODS: One hundred and seventy-five patients with T tube installed after cholecystectomy and choledochotomy were assessed by choledochoscope manometry. They were randomly assigned into groups of H(2)-receptor blocking pharmacon, protease inhibitor, and gastro kinetic agents. The Sphincter of Oddi basal pressure (SOBP), amplitude (SOCA), frequency of contractions (SOF), duodenal pressure (DP), and common bile duct pressure (CBDP) were scored and analyzed. RESULTS: SOBP and SOCA were significantly decreased after cimetidine administration, and no statistical difference was seen in the famotidine group. In the gabexate mesilate group, SOBP had decreased significantly. In the ulinastatin group, SOCA decreased when ulinastatin was given at the rate of 2500 U/min; when ulinastatin administration was raised to 5000 U/min, SOBP, SOF and SOCA all experienced a fall. SOBP and SOCA for domperidone and SOCA for mosapride groups all decreased distinctly after administration. CONCLUSION: The regular dosage of cimetidine showed an inhibitory effect on the motility of SO, while famotidine had no obvious effects otherwise. Gabnexata mesilate, ulinastatin and gastro kinetic agents also showed inhibitory effects on the SO motility.
Authors:
Jing Kong; Shuo-Dong Wu; Xiao-Bo Zhang; Zhen-Sheng Li; Gang Shi; Wei Wang; Jun-Zhi Chen
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  14     ISSN:  1007-9327     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-10-15     Completed Date:  2009-04-02     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  5907-12     Citation Subset:  IM    
Affiliation:
Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Benzamides / therapeutic use
Cholecystectomy
Cimetidine / therapeutic use
Domperidone / therapeutic use
Endoscopes*
Famotidine / therapeutic use
Female
Gabexate / therapeutic use
Gastrointestinal Agents / therapeutic use*
Glycoproteins / therapeutic use
Histamine H2 Antagonists / therapeutic use*
Humans
Male
Manometry / instrumentation*
Middle Aged
Morpholines / therapeutic use
Muscle Contraction / drug effects
Pressure
Serine Proteinase Inhibitors / therapeutic use*
Sphincter of Oddi / drug effects*,  physiopathology
Young Adult
Chemical
Reg. No./Substance:
0/Benzamides; 0/Gastrointestinal Agents; 0/Glycoproteins; 0/Histamine H2 Antagonists; 0/Morpholines; 0/Serine Proteinase Inhibitors; 112885-42-4/mosapride; 39492-01-8/Gabexate; 51481-61-9/Cimetidine; 57808-66-9/Domperidone; 76824-35-6/Famotidine; 80449-32-7/urinastatin
Comments/Corrections

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


Previous Document:  A systematic review and meta-analysis of the Chinese literature for the treatment of achalasia.
Next Document:  Porphyria cutanea tarda as a complication of therapy for chronic hepatitis C.