The Effect of Hepatic Plexus Vagectomy on the  Sphincter of Oddi in Hummans

Osman GÜLER

Article Details

The Effect of Hepatic Plexus Vagectomy on the Sphincter of Oddi in Hummans

Authors:

Osman GÜLER

Publisher:

TUBITAK

Journal:

Turkish Journal of Medical Sciences 1999 Vol.29 Issue 3, pp.303-308

Document Type:

Article

Publication Date:

2/1999

Document Language:

Turkish

Document ID (Org No.):

2000758017

Frequency:

Bimonthly

eISSN:

1303-6165

pISSN:

1300-0144

Keywords:

Abstract:

 

Right upper quadrant billary type  pain is classified in three types. Biliary group  lll patients have only biliary type pain that is  due to sphincter of Oddi dyskinesia and  without any abnormalities. In these patients,  endoscopic sphincterotomy is a current  treatment method that is performed to  decrease the choledochal pressure and to  facilitate bile flow into the duodenum. In this  prospective study, the effect of hepatic plexus  vagectomy as an adjunct to cholecystectomy  on the sphincter of Oddi was investigated in  biliary group lll patients who were potential  sufferers of postcholecystectomy syndrome.  Common bile duct pressures in 62  cholelithiasis patients were recorded by  means of a catheter introduced through the  cystic duct after open cholecystectomy. The  upper limit of normal choledochal pressure  was hypothesized to be 15cm H 2 O. The  perfusion pressures were above this limit in  15 patients. The first 7 patients formed the  study group and the subsequent 8 patients  were the controls. Hepatic plexus vagectomy  was performed on the patients in the study  group. The mean decrease of common bile  duct pressure was 31.6% after hepatic  plexus vagectomy and was significant  (p.

 

Right upper quadrant billary type  pain is classified in three types. Biliary group  lll patients have only biliary type pain that is  due to sphincter of Oddi dyskinesia and  without any abnormalities. In these patients,  endoscopic sphincterotomy is a current  treatment method that is performed to  decrease the choledochal pressure and to  facilitate bile flow into the duodenum. In this  prospective study, the effect of hepatic plexus  vagectomy as an adjunct to cholecystectomy  on the sphincter of Oddi was investigated in  biliary group lll patients who were potential  sufferers of postcholecystectomy syndrome.  Common bile duct pressures in 62  cholelithiasis patients were recorded by  means of a catheter introduced through the  cystic duct after open cholecystectomy. The  upper limit of normal choledochal pressure  was hypothesized to be 15cm H 2 O. The  perfusion pressures were above this limit in  15 patients. The first 7 patients formed the  study group and the subsequent 8 patients  were the controls. Hepatic plexus vagectomy  was performed on the patients in the study  group. The mean decrease of common bile  duct pressure was 31.6% after hepatic  plexus vagectomy and was significant  (p.

Article Details

The Effect of Hepatic Plexus Vagectomy on the Sphincter of Oddi in Hummans

Authors:

Osman GÜLER

Publisher:

TUBITAK

Journal:

Turkish Journal of Medical Sciences 1999 Vol.29 Issue 3, pp.303-308

Document Type:

Article

Publication Date:

2/1999

Document Language:

Turkish

Document ID (Org No.):

2000758017

Frequency:

Bimonthly

eISSN:

1303-6165

pISSN:

1300-0144

Hepatic plexus

vagectomy

sphincter of Oddi

humans.

Issues

Article Details

The Effect of Hepatic Plexus Vagectomy on the Sphincter of Oddi in Hummans

Authors: Osman GÜLER

Publisher: TUBITAK

Journal: Turkish Journal of Medical Sciences 1999 Vol.29 Issue 3, pp.303-308

Document Type: Article

Publication Date: 2/1999

Document Language: Turkish

Document ID (Org No.): 2000758017

Frequency: Bimonthly

eISSN: 1303-6165

pISSN: 1300-0144

Hepatic plexus

vagectomy

sphincter of Oddi

humans.

Issues

Authors:

Osman GÜLER

Publisher:

TUBITAK

Journal:

Turkish Journal of Medical Sciences 1999 Vol.29 Issue 3, pp.303-308

Document Type:

Article

Publication Date:

2/1999

Document Language:

Turkish

Document ID (Org No.):

2000758017

Frequency:

Bimonthly

eISSN:

1303-6165

pISSN:

1300-0144