Manometric study of the biliary sphincter zone: A comparison between the length of phasic activity and the narrow distal segment

Abstract

Motor activity of the sphincter of Oddi has been evaluated in 26 patients who underwent ERCP examination. Manometric recordings from the common bile duct and the sphincter of Oddi were performed with a single end-lumen perfused catheter. The number of successive 3 mm spaced black marks, observed during the pull-through from the first appearance of the proximal sphincter activity to that of duodenal pressure, was used to measure the length of the sphincter zone. In 14 of 26 patients, the length of phasic activity zone of the sphincter of Oddi was 9mm. However, the narrow distal segment of the common bile duct was 15.1±3.6mm in length. In same patients, the length of phasic activity zone was shorter than the anatomical one. The mean sphincter of Oddi pressure(SOP)at the distance of 6 mm from the papillary pore(77.8±22.1mmHg)was greater than that of 9 mm(58.4±27.0mmHg)and 12mm (51.0±16.9mmHg).
These results suggest that the location of the orifice of catheter should be taken into consideration when comparing the SOP.