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Effects of narcotic analgesic drugs on human Oddi's sphincter motility
To assess the effects of intramuscular analgesics (morphine, Ap-237, pethidine and tramadol) on human Oddi's sphincter motility with choledochoscope manometry. A total of 70 patients having T tubes after cholecystectomy and choledochotomy were assessed by choledochoscope manometry. They were ra...
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| Published in: | World journal of gastroenterology : WJG 2004-10, Vol.10 (19), p.2901-2904 |
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| creator | Wu, Shuo-Dong Zhang, Zhen-Hai Jin, Jun-Zhe Kong, Jing Wang, Wei Zhang, Qiang Li, Dong-Yan Wang, Min-Fei |
| description | To assess the effects of intramuscular analgesics (morphine, Ap-237, pethidine and tramadol) on human Oddi's sphincter motility with choledochoscope manometry.
A total of 70 patients having T tubes after cholecystectomy and choledochotomy were assessed by choledochoscope manometry. They were randomly divided into morphine group, Ap-237 group, pethidine group and tramadol group. Basal pressure of Oddi's sphincter (BPOS), amplitude of phasic contractions (SOCA), frequency of phasic contractions (SOF), duration of phasic contractions(SOD), duodenal pressure (DP) and common bile duct pressure (CBDP) were scored and analyzed. All narcotic analgesic drugs were administered intramuscularly.
Levels of BPOS, SOCA and SOF were increased after injection of morphine and Ap-237 (P |
| doi_str_mv | 10.3748/wjg.v10.i19.2901 |
| format | article |
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A total of 70 patients having T tubes after cholecystectomy and choledochotomy were assessed by choledochoscope manometry. They were randomly divided into morphine group, Ap-237 group, pethidine group and tramadol group. Basal pressure of Oddi's sphincter (BPOS), amplitude of phasic contractions (SOCA), frequency of phasic contractions (SOF), duration of phasic contractions(SOD), duodenal pressure (DP) and common bile duct pressure (CBDP) were scored and analyzed. All narcotic analgesic drugs were administered intramuscularly.
Levels of BPOS, SOCA and SOF were increased after injection of morphine and Ap-237 (P<0.05), level of CBDP was increased from 4.97+/-3.87 mmHg to 8.62+/-7.43 mmHg (10 min later) and 7.32+/-5.95 mmHg (20 min later) after injection of morphine (P<0.01). No apparent change occurred after intramuscular injection of pethidine. Level of BPOS was increased from 7.01+/-5.50 mmHg to 2.87+/-2.78 mmHg 10 min after injection of tramadol and SOCA was decreased from 63.34+/-35.29 mmHg to 45.90+/-27.86 mmHg (10 min later,P<0.05) and 35.97+/-24.30 (20 min later,P<0.01) after administration of tramadol.
All these findings indicate that Oddi's sphincter manometry via choledochoscope is a practical and new way to study the dynamics of Oddi' s sphincter. The regular dose of morphine and Ap-237 could increase BPOS, SOF and SOCA. Morphine could increase the level of CBDP, demonstrating an excitatory effect on the sphincter of Oddi. Pethidine had no effect on Oddi's sphincter motility. Tramadol shows an inhibitory effect on the motility of the sphincter of Oddi and decreases levels of BPOS and SOCA.</description><identifier>ISSN: 1007-9327</identifier><identifier>EISSN: 2219-2840</identifier><identifier>DOI: 10.3748/wjg.v10.i19.2901</identifier><identifier>PMID: 15334697</identifier><language>eng</language><publisher>United States: Department of Hepatobiliary Surgery,the Second Affiliated Hospital,China Medical University,Shenyang 110004,Liaoning Province,China</publisher><subject>Adult ; Aged ; Analgesics, Opioid - pharmacology ; Brief Reports ; Cell Movement - drug effects ; Cell Movement - physiology ; Cholecystectomy ; Common Bile Duct Diseases - physiopathology ; Common Bile Duct Diseases - surgery ; Female ; Humans ; Male ; Middle Aged ; Muscle Contraction - drug effects ; Muscle, Smooth ; Pressure ; Sphincter of Oddi - drug effects ; Sphincter of Oddi - physiopathology</subject><ispartof>World journal of gastroenterology : WJG, 2004-10, Vol.10 (19), p.2901-2904</ispartof><rights>Copyright © Wanfang Data Co. Ltd. All Rights Reserved.</rights><rights>The Author(s) 2004. Published by Baishideng Publishing Group Inc. All rights reserved. 2004</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c512t-77a6afedd6eb8ecde51c89b29bab4d5464a1352b093e92adf3cf5f294f9a22553</citedby><cites>FETCH-LOGICAL-c512t-77a6afedd6eb8ecde51c89b29bab4d5464a1352b093e92adf3cf5f294f9a22553</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://www.wanfangdata.com.cn/images/PeriodicalImages/wjg/wjg.jpg</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4572129/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4572129/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15334697$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, Shuo-Dong</creatorcontrib><creatorcontrib>Zhang, Zhen-Hai</creatorcontrib><creatorcontrib>Jin, Jun-Zhe</creatorcontrib><creatorcontrib>Kong, Jing</creatorcontrib><creatorcontrib>Wang, Wei</creatorcontrib><creatorcontrib>Zhang, Qiang</creatorcontrib><creatorcontrib>Li, Dong-Yan</creatorcontrib><creatorcontrib>Wang, Min-Fei</creatorcontrib><title>Effects of narcotic analgesic drugs on human Oddi's sphincter motility</title><title>World journal of gastroenterology : WJG</title><addtitle>World J Gastroenterol</addtitle><description>To assess the effects of intramuscular analgesics (morphine, Ap-237, pethidine and tramadol) on human Oddi's sphincter motility with choledochoscope manometry.
A total of 70 patients having T tubes after cholecystectomy and choledochotomy were assessed by choledochoscope manometry. They were randomly divided into morphine group, Ap-237 group, pethidine group and tramadol group. Basal pressure of Oddi's sphincter (BPOS), amplitude of phasic contractions (SOCA), frequency of phasic contractions (SOF), duration of phasic contractions(SOD), duodenal pressure (DP) and common bile duct pressure (CBDP) were scored and analyzed. All narcotic analgesic drugs were administered intramuscularly.
Levels of BPOS, SOCA and SOF were increased after injection of morphine and Ap-237 (P<0.05), level of CBDP was increased from 4.97+/-3.87 mmHg to 8.62+/-7.43 mmHg (10 min later) and 7.32+/-5.95 mmHg (20 min later) after injection of morphine (P<0.01). No apparent change occurred after intramuscular injection of pethidine. Level of BPOS was increased from 7.01+/-5.50 mmHg to 2.87+/-2.78 mmHg 10 min after injection of tramadol and SOCA was decreased from 63.34+/-35.29 mmHg to 45.90+/-27.86 mmHg (10 min later,P<0.05) and 35.97+/-24.30 (20 min later,P<0.01) after administration of tramadol.
All these findings indicate that Oddi's sphincter manometry via choledochoscope is a practical and new way to study the dynamics of Oddi' s sphincter. The regular dose of morphine and Ap-237 could increase BPOS, SOF and SOCA. Morphine could increase the level of CBDP, demonstrating an excitatory effect on the sphincter of Oddi. Pethidine had no effect on Oddi's sphincter motility. Tramadol shows an inhibitory effect on the motility of the sphincter of Oddi and decreases levels of BPOS and SOCA.</description><subject>Adult</subject><subject>Aged</subject><subject>Analgesics, Opioid - pharmacology</subject><subject>Brief Reports</subject><subject>Cell Movement - drug effects</subject><subject>Cell Movement - physiology</subject><subject>Cholecystectomy</subject><subject>Common Bile Duct Diseases - physiopathology</subject><subject>Common Bile Duct Diseases - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Muscle Contraction - drug effects</subject><subject>Muscle, Smooth</subject><subject>Pressure</subject><subject>Sphincter of Oddi - drug effects</subject><subject>Sphincter of Oddi - physiopathology</subject><issn>1007-9327</issn><issn>2219-2840</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><recordid>eNpVkU1v1DAQhi0EokvhzgnlgOCUxR7bSXxBQlVLkSr1Amdr4o-sV4mz2Emr_nu82hXQk8ead975eAh5z-iWt6L78rgftg_lE5jagqLsBdkAMFVDJ-hLsmGUtrXi0F6QNznvKQXOJbwmF0xyLhrVbsjNtffOLLmafRUxmXkJpsKI4-ByiWxah5KL1W6dMFb31obPucqHXYhmcamain4My9Nb8srjmN2783tJft1c_7y6re_uv_-4-nZXG8lgqdsWG_TO2sb1nTPWSWY61YPqsRdWikYgKxP2VHGnAK3nxksPSniFAFLyS_L15HtY-8lZ4-KScNSHFCZMT3rGoJ9nYtjpYX7QQrbAQBWDjyeDR4we46D385rKulmXWwKlginKWZF9OvdJ8-_V5UVPIRs3jhjdvGbdNB10ktMipCehSXPOyfm_szCqj4yOvrow0oWRPjIqJR_-3-FfwRkK_wOhT4_I</recordid><startdate>20041001</startdate><enddate>20041001</enddate><creator>Wu, Shuo-Dong</creator><creator>Zhang, Zhen-Hai</creator><creator>Jin, Jun-Zhe</creator><creator>Kong, Jing</creator><creator>Wang, Wei</creator><creator>Zhang, Qiang</creator><creator>Li, Dong-Yan</creator><creator>Wang, Min-Fei</creator><general>Department of Hepatobiliary Surgery,the Second Affiliated Hospital,China Medical University,Shenyang 110004,Liaoning Province,China</general><general>Baishideng Publishing Group Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>2B.</scope><scope>4A8</scope><scope>92I</scope><scope>93N</scope><scope>PSX</scope><scope>TCJ</scope><scope>5PM</scope></search><sort><creationdate>20041001</creationdate><title>Effects of narcotic analgesic drugs on human Oddi's sphincter motility</title><author>Wu, Shuo-Dong ; Zhang, Zhen-Hai ; Jin, Jun-Zhe ; Kong, Jing ; Wang, Wei ; Zhang, Qiang ; Li, Dong-Yan ; Wang, Min-Fei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c512t-77a6afedd6eb8ecde51c89b29bab4d5464a1352b093e92adf3cf5f294f9a22553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Analgesics, Opioid - pharmacology</topic><topic>Brief Reports</topic><topic>Cell Movement - drug effects</topic><topic>Cell Movement - physiology</topic><topic>Cholecystectomy</topic><topic>Common Bile Duct Diseases - physiopathology</topic><topic>Common Bile Duct Diseases - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Muscle Contraction - drug effects</topic><topic>Muscle, Smooth</topic><topic>Pressure</topic><topic>Sphincter of Oddi - drug effects</topic><topic>Sphincter of Oddi - physiopathology</topic><toplevel>online_resources</toplevel><creatorcontrib>Wu, Shuo-Dong</creatorcontrib><creatorcontrib>Zhang, Zhen-Hai</creatorcontrib><creatorcontrib>Jin, Jun-Zhe</creatorcontrib><creatorcontrib>Kong, Jing</creatorcontrib><creatorcontrib>Wang, Wei</creatorcontrib><creatorcontrib>Zhang, Qiang</creatorcontrib><creatorcontrib>Li, Dong-Yan</creatorcontrib><creatorcontrib>Wang, Min-Fei</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Wanfang Data Journals - Hong Kong</collection><collection>WANFANG Data Centre</collection><collection>Wanfang Data Journals</collection><collection>万方数据期刊 - 香港版</collection><collection>China Online Journals (COJ)</collection><collection>China Online Journals (COJ)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of gastroenterology : WJG</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Shuo-Dong</au><au>Zhang, Zhen-Hai</au><au>Jin, Jun-Zhe</au><au>Kong, Jing</au><au>Wang, Wei</au><au>Zhang, Qiang</au><au>Li, Dong-Yan</au><au>Wang, Min-Fei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of narcotic analgesic drugs on human Oddi's sphincter motility</atitle><jtitle>World journal of gastroenterology : WJG</jtitle><addtitle>World J Gastroenterol</addtitle><date>2004-10-01</date><risdate>2004</risdate><volume>10</volume><issue>19</issue><spage>2901</spage><epage>2904</epage><pages>2901-2904</pages><issn>1007-9327</issn><eissn>2219-2840</eissn><abstract>To assess the effects of intramuscular analgesics (morphine, Ap-237, pethidine and tramadol) on human Oddi's sphincter motility with choledochoscope manometry.
A total of 70 patients having T tubes after cholecystectomy and choledochotomy were assessed by choledochoscope manometry. They were randomly divided into morphine group, Ap-237 group, pethidine group and tramadol group. Basal pressure of Oddi's sphincter (BPOS), amplitude of phasic contractions (SOCA), frequency of phasic contractions (SOF), duration of phasic contractions(SOD), duodenal pressure (DP) and common bile duct pressure (CBDP) were scored and analyzed. All narcotic analgesic drugs were administered intramuscularly.
Levels of BPOS, SOCA and SOF were increased after injection of morphine and Ap-237 (P<0.05), level of CBDP was increased from 4.97+/-3.87 mmHg to 8.62+/-7.43 mmHg (10 min later) and 7.32+/-5.95 mmHg (20 min later) after injection of morphine (P<0.01). No apparent change occurred after intramuscular injection of pethidine. Level of BPOS was increased from 7.01+/-5.50 mmHg to 2.87+/-2.78 mmHg 10 min after injection of tramadol and SOCA was decreased from 63.34+/-35.29 mmHg to 45.90+/-27.86 mmHg (10 min later,P<0.05) and 35.97+/-24.30 (20 min later,P<0.01) after administration of tramadol.
All these findings indicate that Oddi's sphincter manometry via choledochoscope is a practical and new way to study the dynamics of Oddi' s sphincter. The regular dose of morphine and Ap-237 could increase BPOS, SOF and SOCA. Morphine could increase the level of CBDP, demonstrating an excitatory effect on the sphincter of Oddi. Pethidine had no effect on Oddi's sphincter motility. Tramadol shows an inhibitory effect on the motility of the sphincter of Oddi and decreases levels of BPOS and SOCA.</abstract><cop>United States</cop><pub>Department of Hepatobiliary Surgery,the Second Affiliated Hospital,China Medical University,Shenyang 110004,Liaoning Province,China</pub><pmid>15334697</pmid><doi>10.3748/wjg.v10.i19.2901</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| issn | 1007-9327 2219-2840 |
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| source | PubMed Central |
| subjects | Adult Aged Analgesics, Opioid - pharmacology Brief Reports Cell Movement - drug effects Cell Movement - physiology Cholecystectomy Common Bile Duct Diseases - physiopathology Common Bile Duct Diseases - surgery Female Humans Male Middle Aged Muscle Contraction - drug effects Muscle, Smooth Pressure Sphincter of Oddi - drug effects Sphincter of Oddi - physiopathology |
| title | Effects of narcotic analgesic drugs on human Oddi's sphincter motility |
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