오디 괄약근 기능 이상으로 인한 소아의 재발 급성 췌장염 1예
Recurrent Acute Pancreatitis Associated with Sphincter of Oddi Dysfunction in a Child
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Recent studies suggest that sphincter of Oddi dysfunction (SOD) is one of the possible causes of unexplained recurrent acute pancreatitis in children. A 14-year-old boy who had suffered from idiopathic recurrent acute pancreatitis was diagnosed with SOD. Abdominal ultrasonography, computerized tomography, and magnetic resonance cholangiopancreatography revealed no evidence of stone, tumor, or pancreatic ductal anomaly. Endoscopic retrograde cholangiopancreatography (ERCP) and sphincter of Oddi manometry (SOM) revealed elevated basal pressure and tachyoddia consistent with SOD. Hence, an endoscopic pancreatic sphincterotomy was performed. We report a case of recurrent acute pancreatitis associated with SOD in a child. ERCP and SOM may be considered in patients with multiple unexplained attacks of pancreatic pain and negative abdominal imaging.
Abstract
Recent studies suggest that sphincter of Oddi dysfunction (SOD) is one of the possible causes of unexplained recurrent acute pancreatitis in children. A 14-year-old boy who had suffered from idiopathic recurrent acute pancreatitis was diagnosed with SOD. Abdominal ultrasonography, computerized tomography, and magnetic resonance cholangiopancreatography revealed no evidence of stone, tumor, or pancreatic ductal anomaly. Endoscopic retrograde cholangiopancreatography (ERCP) and sphincter of Oddi manometry (SOM) revealed elevated basal pressure and tachyoddia consistent with SOD. Hence, an endoscopic pancreatic sphincterotomy was performed. We report a case of recurrent acute pancreatitis associated with SOD in a child. ERCP and SOM may be considered in patients with multiple unexplained attacks of pancreatic pain and negative abdominal imaging.
참고문헌 (22)
- Levy MJ, "Idiopathic acute recurrent pancreatitis", Am J Gastroenterol, 96, pp.2540~2555 (2001)
- 김명환, "Oddi 괄약근 운동 이상 환자 16예의 임상 양상", 대한소화기내시경학회지, 16, pp.585~590 (1996)
- 최인영, "자가면역성 만성 췌장염으로 진단된 소아 1예", 대한소아소화기영양학회지, 10(2), pp.215~220 (2007), 대한소아소화기영양학회
- 이승현, "다발성 췌관석에 의한 만성 재발성 췌장염 1예", 대한소아소화기영양학회지, 4, pp.256~260 (2001)
- 황종호, "부췌관 배액술로 치료한 췌담관 합류 이상과 불완전 분할췌 동반 1예", 대한내과학회지, 72(5), pp.546~550 (2007), 대한내과학회
- 윤수지, "재발성 급성 췌장염 환��에서 발견된 흥미로운 췌관 변이", 대한소화기내시경학회지, 24(2), pp.122~125 (2002), 대한소화기내시경학회
- 지문종, "십이지장 내강 내 게실로 인한 반복적인 췌장염 1예", 대한소아외과학회지, 11, pp.175~179 (2005)
- 김재영, "췌장 가성 낭종과 췌관 출혈이 합병된 Cationic Trypsinogen R122H 유전자 변이에 의한 유전 췌장염 1예", 대한소화기학회지, 45(2), pp.130~136 (2005), 대한소화기학회
- Guelrud M, "The role of ERCP in the diagnosis and treatment of idiopathic recurrent pancreatitis in children and adolescents", Gastrointest Endosc, 40, pp.428~436 (1994)
- Hsu RK, "Yu AS, Hawes RH, et al. Therapeutic ERCP in the management of pancreatitis in children", Gastrointest Endosc, 51, pp.396~400 (2000)
- Geenen JE, "Venu RP. The efficacy of endoscopic sphincterotomy after cholecystectomy in patients with sphincter-of-Oddi dysfunction", N Engl J Med, 320, pp.82~87 (1989)
- Tarnasky P, "Pancreatic sphincter hypertension increases the risk of post-ERCP pancreatitis", Endoscopy, 29, pp.252~257 (1997)
- Hogan WJ, "Sphincter of Oddi manometry", Gastrointest Endosc, 45, pp.342~348 (1997)
- Petersen BT, "Sphincter of Oddi dysfunction, part 2: evidence-based review of the presentations, with “objective” pancreatic findings (types I and II) and of presumptive type III", Gastrointest Endosc, 59, pp.670~687 (2004)
- Guelrud M, "Sphincter of Oddi manometry in healthy volunteers", Dig Dis Sci, 35, pp.38~46 (1990)
- Toouli J, "Sphincter of Oddi motility disorders in patients with idiopathic recurrent pancreatitis", Br J Surg, 72, pp.859~863 (1985)
- Toouli J, "Division of the sphincter of Oddi for treatment of dysfunction associated with recurrent pancreatitis", Br J Surg, 83, pp.1205~1210 (1996)
- Brandstatter G, "Influence of spasmolytic analgesics on motility of sphincter of Oddi", Dig Dis Sci, 41, pp.1814~1818 (1996)
- Khuroo MS, "Efficacy of nifedipine therapy in patients with sphincter of Oddi dysfunction: a prospective, double-blind, randomized, placebo- controlled, cross over trial", Br J Clin Pharmacol, 33, pp.477~485 (1992)
- Thatcher BS, "Endoscopic sphincterotomy for suspected dysfunction of the sphincter of Oddi", Gastrointest Endosc, 33, pp.91~95 (1987)
- Neoptolemos JP, "Sphincter of Oddi dysfunction: results of treatment by endoscopic sphincterotomy", Br J Surg, 75, pp.454~459 (1988)
- Varadarajulu S, "Endoscopic management of sphincter of Oddi dysfunction in children", J Pediatr Gastroenterol Nutr, 42, pp.526~530 (2006)