THE NARDI TEST IN SPHINCTER OF ODDI DYSFUNCTION: IS IT STILL RELEVANT?

Öz

-

Anahtar Kelimeler

• -

THE NARDI TEST IN SPHINCTER OF ODDI DYSFUNCTION: IS IT STILL RELEVANT?

Abstract

common symptoms encountered in daily practice and a pathology affecting the sphincter of Oddi (SO) as a cause, is never thought of at the first instance. Various disease states affecting the SO, mainly its dysfunction (SOD) seem to be important to be kept in mind while treating patients with intractable abdominal pain, especially postcholecystectomy cases. As the clinical syndrome of SOD is poorly defined and incompletely understood, an accurate estimate of the problem cannot be made. The most widely used pharmacologic test to determine SOD is the morphine- prostigmine provocative test of Nardi. In this article we have discussed the relevance of this test in modern day practice

Keywords

• Abdominal pain, sphincter of Oddi, dysfunction, bile duct, pancreas, surgery

Kaynakça

1. Costanza CD, Longstreth GF, Liu AL. Chronic abdominal wall pain: clinical features, health care costs, and long-term outcome. Clin Gastroenterol Hepatol 2004;2:395-9
2. Madacsy L, Fejes R, Kurucsai G, et al. Characterization of functional biliary pain and dyspeptic symptoms in patients with sphincter of Oddi dysfunction: effect of papillotomy. World J Gastroenterol 2006;12: 6850-6
3. Toouli J. Biliary scintigraphy versus sphincter patients pain: is it time to disregard the scan? Curr Gastroenterol Rep 2005;7:154-9 in
4. Corazziari E. Sphincter of Oddi dysfunction. Dig Liver Dis 2003;35 Suppl 3:S26-9
5. Piccinni G, Angrisano A, Testini M, Bonomo GM. Diagnosing and treating Sphincter of Oddi dysfunction: a critical literature J Clin Gastroenterol 2004;38:350-9 and reevaluation.
6. Nardi GL, Acosta JM. Papillitis as a cause of pancreatitis and abdominal pain: role of evocative test, operative pancreatography and histologic evaluation. Ann Surg 1966;164:611-21
7. Craig AG, Toouli J. Sphincterotomy for biliary sphincter of Oddi dysfunction. Cochrane Database Syst Rev 2001;3:CD001509
8. Kurucsai G, Joo I, Szekely A, Madacsy L. pancreatologist dream or a real clinical entity–second look at the results of our Nardi provocation tests. Z Gastroenterol 2006; 44. DOI:10.1055/s

9. wirsungodyskinesia–a
10. Madácsy L, Velosy B, Lonovics J, Csernay L. Evaluation of results of the prostigmine- morphine test with quantitative hepatobiliary scintigraphy: a new method for the diagnosis of sphincter of Oddi dyskinesia. Eur J Nucl Med Mol Imaging1995;22:227-32
11. Steinberg WM, Salvato RF, Toskes PP. The morphine-prostigmine provocative test- is it useful for making clinical decisions? Gastroenterology 1980;78:728-31
12. Thomas PD, Turner JG, Dobbs BR, Burt MJ, Chapman BA. Use of (99m) Tc-DISIDA biliary scanning with morphine provocation for the detection of elevated sphincter of Oddi basal pressure. Gut 2000;46:838-41