JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Jones, R. M. Articles by Pandit, U. Search for Related Content PubMed PubMed Citation Articles by Jones, R. M. Articles by Pandit, U.

Incidence of Choledochoduodenal Sphincter Spasm during Fentanyl-Supplemented Anesthesia

Ronald M. Jones, MB, ChB, FFARCS^*, Michael Detmer, MD, Anne B. Hill, MB, ChB, FFARCS, David G. Bjoraker, MD, and Uma Pandit, MD

* Instructor, Department of Anesthesiology, University of Michigan Medical Center. Present appointment: Consultant Anaesthetist, The University and City Hospitals, Nottingham. Present ad-dress: Department of Anaesthesia, The City Hospital, Hucknall Road, Nottingham NG5 lPB, Great Britain. Assistant Professor, Department of Anesthesiology, Univeristy of Michigan Medical Center. Instructor, Department of Anesthesiology, University of Michigan Medical Center.

Abstract

One hundred patients were studied prospectively to assess the incidence of spasm of the choledochoduodenal sphincter during biliary tract surgery performed under a fentanyl-supplemented anesthetic technique. The incidence of failure of passage of contrast medium into the duodenum was 3%. In each of the three patients with cholangiographic evidence of sphincter spasm, contrast medium flowed freely into the duodenum after the intravenous administration of 2 mg of glucagon. It is concluded that spasm of the choledochoduodenal sphincter is an uncommon occurrence during fentanyl-supplemented anesthesia and that this method of anesthesia is suitable for biliary tract surgery.

Key Words: ANESTHESIA: biliary tract surgery • COMPLICATIONS: choledochoduodenal sphincter spasm • ANALGESICS: narcotic, fentanyl • HORMONES: glucagon

This article has been cited by other articles:

				R. J. Fragen, F. Vilich, S. M. Spies, and W. D. Erwin The Effect of Remifentanil on Biliary Tract Drainage into the Duodenum Anesth. Analg., December 1, 1999; 89(6): 1561 - 1561. [Abstract] [Full Text] [PDF]

Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999