• Anesthesiology · Apr 2001

    Case Reports

    The use of intravenous nitroglycerin in a case of spasm of the sphincter of Oddi during laparoscopic cholecystectomy.

    • H Toyoyama, N Kariya, I Hase, and Y Toyoda.
    • Department of Anesthesia, Osaka Kosei-Nenkin Hospital, Japan. toyoh@wb3.so-net.ne.jp
    • Anesthesiology. 2001 Apr 1; 94 (4): 708-9.

    AbstractSpasm of the sphincter of Oddi still occurs during cholecystectomy. Some reports indicate that the spasm, induced by morphine, can be reversed by injection of naloxone, nalbuphine, and glucagon. Others maintain that nitroglycerin or nifedipine can relax the sphincter of Oddi muscle. We recently encountered spasm of the sphincter of Oddi during a laparoscopic cholecystectomy and treated it successfully with intravenous nitroglycerin.

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