Experimental management by nonoperative adrenergic stimulation of simulated common duct stones

Herbert Dardik, Thomas Beneventano, Richard Rosen, Marvin L. Gliedman, Clarence J. Schein

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

The effects of β-receptor stimulation by isoproterenol on ampullary flow and passage of intracholedochal foreign bodies were evaluated in dogs. Flow rates for saline across the ampulla were unchanged by β stimulation except for the earlier appearance of flow in association with a decrease in sphincteric resistance. The mean irrigation pressures required for the passage of a foreign body into the duodenum decreased by 46% from control values when isoproterenol was infused. Stimulation of β receptors may thus serve as a valuable adjunct in the management of patients with retained choledochal calculi by decreasing ampullary resistance. The ineffectiveness and hazards of previously utilized agents is discussed.

Original languageEnglish
Pages (from-to)321-326
Number of pages6
JournalDigestive Diseases and Sciences
Volume16
Issue number4
DOIs
StatePublished - Apr 1971
Externally publishedYes

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