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JULY 2001 VOL. 11, #43
SPHINCTER OF ODD
MANOMETRY
Evelyn Alderman, RN, CORN, Staff Nurse, Calgary Regional Hospital Authority,
Peter Lockheed site, Calgary, Alberta, Canada
ANATOMY & PHYSIOLOGY
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How to fill out sphincter of oddi manometry
How to fill out sphincter of oddi manometry:
01
Prepare the patient by explaining the procedure and obtaining their consent.
02
Position the patient comfortably, typically in the left lateral decubitus position.
03
Cleanse the area around the sphincter of oddi using an antiseptic solution.
04
Administer local anesthesia to numb the area for better patient comfort.
05
Insert a manometry catheter through an endoscope or by using a percutaneous approach.
06
Advance the catheter into the sphincter of oddi under fluoroscopic guidance.
07
Inflate the catheter balloon to ensure proper positioning and seal at the sphincter of oddi.
08
Begin the manometry recording, which involves measuring the pressure changes within the sphincter over time.
09
Gradually increase the intraductal perfusion pressure to document the sphincter's response.
10
Monitor the patient throughout the procedure for any adverse reactions or complications.
11
Once the manometry is complete, slowly deflate the balloon and remove the catheter.
12
Provide post-procedure care instructions and monitor the patient for any immediate or delayed complications.
Who needs sphincter of oddi manometry:
01
Patients with suspected sphincter of oddi dysfunction (SOD) based on symptoms like abdominal pain, nausea, and bloating.
02
Individuals who have had recurrent pancreatitis, especially when no other cause has been identified.
03
Patients with abnormal bile duct or pancreatic duct findings on imaging studies like ultrasound, MRI, or ERCP.
04
Individuals with previous sphincterotomy who continue to experience symptoms, as manometry can help guide further treatment decisions.
05
Patients with suspected biliary dyskinesia, which involves abnormal contractions of the sphincter leading to symptoms.
06
Individuals being evaluated for potential sphincter of oddi stenosis or strictures.
07
Patients with suspected sphincter of oddi hypertension, which can lead to bile duct or pancreatic duct obstruction.
Please note that these are general guidelines and actual indications for sphincter of oddi manometry may vary depending on each individual case and the healthcare provider's assessment. It is essential to consult with a medical professional for a personalized evaluation and recommendation.
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What is sphincter of oddi manometry?
Sphincter of oddi manometry is a diagnostic test used to measure the pressure in the sphincter of Oddi, which is a muscular valve that controls the flow of bile and pancreatic juices into the small intestine.
Who is required to file sphincter of oddi manometry?
Patients with suspected sphincter of Oddi dysfunction or other related conditions may be required to undergo sphincter of oddi manometry.
How to fill out sphincter of oddi manometry?
Sphincter of oddi manometry is performed by a healthcare provider using a catheter inserted through the mouth into the small intestine to measure pressure.
What is the purpose of sphincter of oddi manometry?
The purpose of sphincter of oddi manometry is to diagnose conditions related to the sphincter of Oddi, such as spasms or blockages.
What information must be reported on sphincter of oddi manometry?
The test results and pressure measurements taken during the procedure must be reported on the sphincter of oddi manometry.
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