Botulinum toxin-induced relaxation of the sphincter of Oddi may select patients with acalculous biliary pain who will benefit from cholecystectomy

William R. Murray

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Botulinum toxin-induced relaxation of the sphincter of Oddi may select patients with acalculous biliary pain who will benefit from cholecystectomy

机译：肉毒杆菌毒素诱导的Oddi括约肌松弛可能会选择胆管钙化性疼痛的患者，这些患者将从胆囊切除术中受益

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Background Acalculous biliary pain may be due to gallbladder dyskinesia or sphincter of Oddi (SO) hypertension. These two etiologies are difficult to differentiate because the gallbladder ejection fraction may be low and the SO manometry results may be abnormal in both. Cholecystectomy is advised for patients with biliary dyskinesia, but it often exacerbates biliary pain for patients with SO hypertension. The biliary pain response to relaxation of the SO using botulinum toxin may indicate appropriate treatment for patients with acalculous biliary pain.

机译：背景胆道钙化性疼痛可能是由于胆囊运动障碍或Oddi（SO）高血压括约肌引起的。这两种病因很难区分，因为两者的胆囊射血分数可能很低并且SO测压结果可能异常。胆囊运动障碍的患者建议进行胆囊切除术，但SO高血压患者通常会加重胆道疼痛。使用肉毒杆菌毒素对SO舒张引起的胆道疼痛反应可能表明对钙化性胆道疼痛患者的适当治疗。

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《Surgical Endoscopy》 |2011年第3期|p.813-816|共4页
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William R. Murray;
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1. Botulinum toxin-induced relaxation of the sphincter of Oddi may select patients with acalculous biliary pain who will benefit from cholecystectomy. [J] . Murray WR Surgical Endoscopy . 2011,第3期

机译：肉毒杆菌毒素诱导的Oddi括约肌松弛可能会选择胆管钙化性疼痛的患者，这些患者将从胆囊切除术中受益。
2. Biliary scintigraphy versus sphincter of Oddi manometry in patients with post-cholecystectomy pain: is it time to disregard the scan? [J] . Toouli J Current gastroenterology reports. . 2005,第2期

机译：胆囊切除术后疼痛患者的胆道显像与Oddi括约肌括约肌：是时候忽略扫描了吗？
3. Patient selection for cholecystectomy based on oral fatty meal augmented cholescintigraphy in cases with chronic acalculous biliary pain: Is it really that reliable? [J] . Chin KH., Sahlén AO, Farouk MO Indian Journal of Surgery . 2005,第4期

机译：在慢性钙化性胆源性疼痛的病例中，基于口服脂肪餐加胆石显像的胆囊切除术患者选择：真的那么可靠吗？
4. A comparison of artificial neural network, latent class analysis and logistic regression for determining which patients benefit from a cognitive behavioural approach to treatment for non-specific low back pain [C] . Barons, Martine J., Parsons, IEEE Symposium on Computational Intelligence in Healthcare and e-health . 2013

机译：人工神经网络，潜在类别分析和逻辑回归的比较，用于确定哪些患者受益于认知行为方法来治疗非特异性下腰痛
5. Development of a Clinical Prediction Rule to Identify Patients with Neck Pain Likely to Benefit from Cervical Spine Manipulation and a Range of Motion Exercise. [D] . Puentedura, Emilio Joseph. 2011

机译：制定临床预测规则以识别颈痛患者可能从颈椎操纵和一系列运动锻炼中受益。
6. Management of patients with biliary sphincter of Oddi disorder without sphincter of Oddi manometry [O] . Evangelos Kalaitzakis, Tim Ambrose, Jane Phillips-Hughes, 2010

机译：无Oddi测压括约肌的Oddi胆管括约肌患者的治疗
7. Management of patients with biliary sphincter of Oddi disorder without sphincter of Oddi manometry. [O] . Kalaitzakis, E, Ambrose, T, Phillips-Hughes, J, 2010

机译：无Oddi测压括约肌的Oddi胆管括约肌患者的治疗。

Botulinum toxin-induced relaxation of the sphincter of Oddi may select patients with acalculous biliary pain who will benefit from cholecystectomy

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