Document Detail


Prospective trial comparing solid-state catheter and water-perfusion triple-lumen catheter for sphincter of Oddi manometry done at the time of ERCP.
MedLine Citation:
PMID:  19386306     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Sphincter of Oddi manometry is the reference standard for the diagnosis of sphincter of Oddi dysfunction. Numerous studies have established ranges of normal values as well as typical readings in pathologic conditions. All these studies have been done using a water-perfused, triple-lumen catheter (TLC). A recently approved, new generation, solid-state catheter (SSC) has potential advantages, but concerns have been raised as to whether the pressures obtained by TLCs are reproducible by SSCs. To date, no data exist on the accuracy of sphincter of Oddi pressure measurements with the new-generation SSCs. OBJECTIVE: To evaluate the accuracy of the SSC by using the TLC as the reference standard. DESIGN: Prospective crossover trial. SETTING: A tertiary academic center. PATIENTS: Thirty patients with clinical indications for sphincter of Oddi manometry. INTERVENTIONS: Sphincter of Oddi manometry with TLC and SSC in the same patient. MAIN OUTCOME MEASUREMENTS: Accuracy of sphincter of Oddi pressure measurements. RESULTS: A total of 376 pressure measurements in 47 sphincter segments (24 biliary, 23 pancreatic) were obtained. Manometry results were abnormal in 10 of 24 biliary sphincters and 12 of 23 pancreatic sphincters. There was complete agreement on the final results of the sphincter of Oddi manometry (normal/abnormal) between the TLC and SSC (accuracy 100%). A split-plot analysis of the 378 individual measurements was performed. The P value of .9966 was insignificant, consistent with no catheter effect on the measurements. LIMITATIONS: Lack of blinding. CONCLUSIONS: Measurement of sphincter of Oddi pressures with the SSC is accurate, and results were essentially identical to those of the water-perfused catheter system.
Authors:
Peter V Draganov; Lukasz Kowalczyk; Chris E Forsmark
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial     Date:  2009-04-21
Journal Detail:
Title:  Gastrointestinal endoscopy     Volume:  70     ISSN:  1097-6779     ISO Abbreviation:  Gastrointest. Endosc.     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-06-29     Completed Date:  2009-09-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0010505     Medline TA:  Gastrointest Endosc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  92-5     Citation Subset:  IM    
Affiliation:
Division of Gastroenterology, Hepatology and Nutrition, University of Florida, Gainesville, Florida 32610, USA. dragapv@medicine.ufl.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Catheterization / instrumentation*
Cholangiopancreatography, Endoscopic Retrograde*
Common Bile Duct Diseases / diagnosis*,  physiopathology
Cross-Over Studies
Equipment Design
Female
Humans
Intraoperative Period
Male
Manometry / methods*
Perfusion / instrumentation
Pressure
Prospective Studies
Reproducibility of Results
Sphincter of Oddi / physiopathology*
Water
Chemical
Reg. No./Substance:
7732-18-5/Water

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


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