Bio-sensor system discriminating between the biliary and pancreatic ductal systems (original) (raw)
Abstract
Sphincter of Oddi manometry is the “gold standard” to evaluate the ductal anatomy of patients with suspected sphincter of Oddi dysfunction. During such procedure it can be unclear which duct is being investigated without radiographs. Bilirubin and other pigments in bile strongly absorb blue light, whereas pancreatic fluid is clear and does not absorb blue light. The bio-sensor system incorporates fibre-optic technology to measure blue light absorbance in the ducts. Bench tests and animal tests were conducted utilising possums. In bench and animal experiments the bio-sensor correctly discriminated between bile and pancreatic juice, based on the absorbance of blue light. The mean absorbance of the bile was 3.57±1.74 and that of the pancreatic duct fluid was 0.53±0.34 (P<0.01) in the animal models. The optical sensing system could be incorporated into a manometry catheter to aid sphincter of Oddi manometry shortening procedure time and reduce radiography exposure.
Access this article
Subscribe and save
- Starting from 10 chapters or articles per month
- Access and download chapters and articles from more than 300k books and 2,500 journals
- Cancel anytime View plans
Buy Now
Price excludes VAT (USA)
Tax calculation will be finalised during checkout.
Instant access to the full article PDF.
Similar content being viewed by others
References
- Al-Jiffry BO, Jobling JM, Schloithe AC, Toouli J, Saccone GT (2001) Secretin induces variable inhibition of motility in different parts of the Australian possum sphincter of Oddi. Neurogastroenterol Motil 13(5):449–445
Article PubMed Google Scholar - Baldini F, Bechi P, Cianchi F, Falai A, Fiorillo C, Nassi P (2000) Analysis of the optical properties of bile. J Biomed Opt 5(3):321–329
Article PubMed Google Scholar - Caldwell MTP, Byrne PJ, Brazil N, Crowley V, Attwood SEA, Walsh TN, Hennessy TPJ (1994) An ambulatory bile reflux monitoring system: an in vitro appraisal. Physiol Meas 15:57–65
Article PubMed Google Scholar - Craig A, Toouli J (1999) Investigation of sphincter of Oddi dysfunction. HPB 1(1):21–24
Google Scholar - Dodds WJ, Hogan WJ Geenen JE (1889) Motility of the biliary system. In: Schultz SG (ed) Handbook of physiology. The gastrointestinal system, 2nd edn. Waverly Press, Baltimore, pp 1055–1101
Google Scholar - Konomi H, Woods CM, Meedeniya AC, Giles LC, Toouli J, Saccone GT (2001) Effects of diaspirin cross-linked hemoglobin on motor function of the duodenum and biliary system in the Australian brush-tailed possum in vivo. J Pharmacol Exp Ther 296(3):1067–1073
PubMed Google Scholar - Maldonado ME, Brady PG, Mamel JJ, Robinson B (1999) Incidence of pancreatitis in patients undergoing sphincter of Oddi manometry (SOM). Am J Gastroenterol 94(2):387–390
Article PubMed Google Scholar - Scicchitano J, Saccone GT, Baker RA, Roberts-Thomson IC, Toouli J (1995) How safe is endoscopic sphincter of Oddi manometry? J Gastroenterol Hepatol 10(3):334–336
PubMed Google Scholar - Testoni PA (2003) Preventing post-ERCP pancreatitis: where are we? JOP 4(1):22–32
PubMed Google Scholar - Toouli J, Craig A (1999) Clinical aspects of sphincter of Oddi function and dysfunction. Curr Gastroenterol Rep 1(2):116–122
PubMed Google Scholar - Vaezi MF, Lacamera RG, Ritchter JE (1994) Validation studies of Bilitec 2000: an ambulatory duodenogastric reflux monitoring system. Am J Physiol 267(6):G1050–G1057
PubMed Google Scholar
Acknowledgements
This research project was supported by Flinders University, Flinders Small Grants Scheme. We would like to acknowledge the assistance provided by the Department of Surgery, Pancreatobiliary Research Group at the Flinders University for their assistance in the animal experiments. In particular, we would like to thank Dr Yukio Sonoda, Mrs Charmaine Woods, Mr James London for all their time and support. We also thank Mrs A. C. Schloithe for assistance with the statistical analysis.
Author information
Authors and Affiliations
- Department of Biomedical Engineering, Research and Development, Flinders Medical Centre, Flinders University, Bedford Park, 5042, Adelaide, SA, Australia
O. J. Pallotta & R. E. Woolford - General and Digestive Surgery, Flinders University, Flinders Medical Centre, Adelaide, SA, Australia
G. T. P. Saccone
Authors
- O. J. Pallotta
- G. T. P. Saccone
- R. E. Woolford
Corresponding author
Correspondence toO. J. Pallotta.
Rights and permissions
About this article
Cite this article
Pallotta, O.J., Saccone, G.T.P. & Woolford, R.E. Bio-sensor system discriminating between the biliary and pancreatic ductal systems.Med Bio Eng Comput 44, 250–255 (2006). https://doi.org/10.1007/s11517-006-0035-3
- Received: 28 November 2005
- Accepted: 07 February 2006
- Published: 15 March 2006
- Issue date: March 2006
- DOI: https://doi.org/10.1007/s11517-006-0035-3