Le test «Cholérétique-Morphine». Son intérêt dans les affections des voies biliaires et dans les migraines

Debray, C; Hardouin, J P; Fablet, J

doi:10.1159/000202500

Cited by 6 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Aunque el dolor durante la CPRE demostró no tener valor diagnóstico para la DEO, puede considerarse un buen indicador de un tracto biliar hipersensible, que tiene poca conformidad con los cambios de volumen y podría actuar como una zona desencadenante del dolor. Aunque la presencia de receptores opioides en el área EO está confirmada por estudios inmunohistoquímicos, aún no se ha establecido su papel fisiológico exacto (Debray et al, 1962). Es un hecho bien conocido que el sulfato de morfina (SM) tiene un efecto estimulante sobre el EO humano.…”

Section: Causas Biliares Funcionalesunclassified

Sindrome post colecistectomia, revision de los complejos mecanismos y entendimiento de un Fenomeno Medico Quirurgico

león

Sarmiento²,

Acelas

et al. 2023

Ciencia Latina

View full text Add to dashboard Cite

La colecistectomía tiene un excelente resultado terapéutico. Sin embargo, hasta un 15-20 % de los pacientes colecistectomizados continúan teniendo una variedad de síntomas gastrointestinales. El síndrome poscolecistectomía (SPC) se puede definir como síntomas de cólico biliar o dolor abdominal persistente en el cuadrante superior derecho (CSD) con o sin dispepsia, que son similares a los experimentados por el paciente antes de la colecistectomía. Los SPC siguen estando presentes como un reto diagnóstico y terapéutico. El objetivo de este artículo fue revisar críticamente la literatura sobre la magnitud del problema y las posibles explicaciones fisiopatológicas del SPC.

show abstract

Section: Causas Biliares Funcionalesunclassified

Sindrome post colecistectomia, revision de los complejos mecanismos y entendimiento de un Fenomeno Medico Quirurgico

león

Sarmiento²,

Acelas

et al. 2023

Ciencia Latina

View full text Add to dashboard Cite

show abstract

“…This phenomenon suggests a direct smooth muscle stimulatory effect of MS by facilitating the Ca++ influx through the voltage dependent or receptor operated calcium channels. In patients with PCS, a marked rise in CBD pressure was demonstrated using endoscopic manometry during MS administration, which was associated with biliary pain [62]. Provocation tests based on MS administration, such as the Debray and the Nardi test have been used for several years in the evaluation of patients with SO dyskinesia [63,64], but the diagnostic usefulness of these tests has been criticized because of their low specificity and sensitivity [65].…”

Section: Functional Biliary Causesmentioning

confidence: 99%

Postcholecystectomy Syndrome: From Pathophysiology to Differential Diagnosis - A Critical Review

Madácsy¹,

Dubravcsik²,

Szepes³

2015

Pancreat Disord Ther

View full text Add to dashboard Cite

show abstract

Evaluation of results of the prostigmine-morphine test with quantitative hepatobiliary scintigraphy: a new method for the diagnosis of sphincter of Oddi dyskinesia

et al. 1995

View full text Add to dashboard Cite

Attempts have long been made to use the prostigmine-morphine provocation test for the selection of postcholecystectomy patients suffering from sphincter of Oddi (SO) dyskinesia. Since the whole procedure is based upon the evaluation of subjective complaints, this test has frequently been criticized. To improve the diagnostic value of this method, we have visualized SO spasms during prostigmine-morphine provocation by means of quantitative hepatobiliary scintigraphy (QHBS). Twenty-two cholecystectomized patients with typical postprandial biliary pain were included in this study. In the first series of studies, QHBS with technetium-99m 2,6-diethylphenylcarbamoylmethyl-diacetic acid was performed in each patient 2 days before prostigmine-morphine provocation. The time to peak activity (Tmax) and the half-time of excretion (T1/2) over the liver parenchyma (LP), hepatic hilum (HH) and common bile duct (CBD), and the duodenum appearance time (DAT), were determined and served as control values. In the second series of experiments, sphincter spasms were evoked by prostigmine-morphine administration and visualized by means of QHBS. The same parameters were evaluated and serum levels of aspartate aminotransferase (AST) were determined simultaneously at regular intervals. In 12 patients who responded to prostigmine-morphine provocation with typical biliary pain and a significant AST elevation (Nardi positive group) the hepatobiliary scintigram demonstrated a marked biliary obstruction. Tmax and T1/2 over the LP, HH and CBD were significantly increased, while DAT was significantly longer relative to the corresponding data obtained without provocation. Four of the remaining ten patients indicated atypical abdominal pain during prostigmine-morphine provocation, but the AST level remained unchanged in all ten (Nardi negative group).(ABSTRACT TRUNCATED AT 250 WORDS)

show abstract

Le test «Cholérétique-Morphine». Son intérêt dans les affections des voies biliaires et dans les migraines

Cited by 6 publications

References 0 publications

Sindrome post colecistectomia, revision de los complejos mecanismos y entendimiento de un Fenomeno Medico Quirurgico

Sindrome post colecistectomia, revision de los complejos mecanismos y entendimiento de un Fenomeno Medico Quirurgico

Postcholecystectomy Syndrome: From Pathophysiology to Differential Diagnosis - A Critical Review

Evaluation of results of the prostigmine-morphine test with quantitative hepatobiliary scintigraphy: a new method for the diagnosis of sphincter of Oddi dyskinesia

Contact Info

Product

Resources

About