Cholangiographic demonstration of relief of narcotic-induced spasm of the sphincter of Oddi

Narcotics are known to cause spasm of the sphincter of Oddi. This spasm may be difficult to distinguish from obstruction of the distal common bile duct on operative cholangiograms in cases where narcotics are used perioperatively. A case is presented in which narcotic-induced spasm of the sphincter...

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Bibliographic Details
Published inThe American surgeon Vol. 48; no. 3; p. 134
Main Authors McLean, Jr, E R, Widmann, W D, Small, H S
Format Journal Article
LanguageEnglish
Published United States 01.03.1982
Subjects
Adult
Ampulla of Vater - diagnostic imaging
Cholangiography
Female
Humans
Narcotic Antagonists - therapeutic use
Spasm - chemically induced
Spasm - diagnostic imaging
Spasm - drug therapy
Sphincter of Oddi - diagnostic imaging
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Summary:Narcotics are known to cause spasm of the sphincter of Oddi. This spasm may be difficult to distinguish from obstruction of the distal common bile duct on operative cholangiograms in cases where narcotics are used perioperatively. A case is presented in which narcotic-induced spasm of the sphincter of Oddi, clearly demonstrated in an operative cholangiogram, is reversed by a narcotic antagonist, thereby avoiding an unnecessary common duct exploration.
ISSN:0003-1348