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Biliary motility disorders

J Toouli1

  • 1Department of Surgery, Flinders Medical Centre, Bedford Park, Adelaide, Australia.

Bailliere'S Clinical Gastroenterology
|March 26, 1998
PubMed
Summary
This summary is machine-generated.

Biliary motility disorders, including gallbladder dyskinesia and sphincter of Oddi dysfunction, cause biliary pain. Objective tests and surgical interventions like cholecystectomy or sphincter division effectively treat these conditions.

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Area of Science:

  • Gastroenterology
  • Hepatobiliary Surgery

Background:

  • Disordered biliary tract motility is linked to gallstones and can persist post-gallbladder removal.
  • Gallbladder dyskinesia and sphincter of Oddi dysfunction are specific motility disorders causing biliary pain or pancreatitis.

Purpose of the Study:

  • To review the diagnosis and management of biliary motility disorders.
  • To highlight objective diagnostic methods and surgical outcomes for these conditions.

Main Methods:

  • Radionuclide gallbladder ejection fraction for gallbladder dyskinesia.
  • Sphincter of Oddi manometry for sphincter of Oddi dysfunction.

Main Results:

  • Cholecystectomy improves or cures most patients with gallbladder dyskinesia.

Related Experiment Videos

  • Sphincter of Oddi division improves or cures most patients with manometric stenosis of the sphincter.
  • Conclusions:

    • Biliary motility disorders are significant causes of biliary pain and pancreatitis.
    • Objective testing and targeted surgical treatments offer effective management for these conditions.