Sphincter of Oddi

sphincter of Oddi

Interior of the descending portion of the duodenum, showing bile papilla.
Latin m. sphincter ampullae
MeSH A03.
TA A05.8.02.018
FMA 15077

Anatomical terminology

The sphincter of Oddi (also hepatopancreatic sphincter or Glisson's sphincter), abbreviated as SO,[1] is a muscular valve that controls the flow of digestive juices (bile and pancreatic juice) through the ampulla of Vater into the second part of the duodenum. It is named after Ruggero Oddi.[2] The sphincter of Oddi is relaxed by the hormone cholecystokinin[3] via vasoactive intestinal peptide.[4]

Clinical significance

Opiates can cause spasms of the sphincter of Oddi, leading to increased serum amylase levels.[5]

Other animals

In many mammals (including mice, guinea pigs, dogs and opossums), the smooth muscle around the ampulla of Vater does not form a sphincter.[6]


The sphincter was described for the first time by Ruggero Oddi when he was a young student in 1887.[7] This followed extensive research on the physiology of dogs and had made detailed histological examinations of humans, and many other species.[1]


  1. 1 2 Yamada 2011, p. 78.
  2. synd/2709 at Who Named It?
  3. Board Review Series (5th ed.). Lippincott Williams & Wilkins medical. March 2006. p. 220. ISBN 978-0781798761.
  4. Wiley, J W; O'Dorisio, T M; Owyang, C (1988). "Vasoactive intestinal polypeptide mediates cholecystokinin-induced relaxation of the sphincter of Oddi". Journal of Clinical Investigation. 81 (6): 1920–4. doi:10.1172/JCI113539. PMC 442644Freely accessible. PMID 3384954.
  5. Druart-Blazy A, Pariente A, Berthelemy P, Arotçarena R (2005) The underestimated role of opiates in patients with suspected sphincter of Oddi dysfunction after cholecystectomy. Gastroenterol Clin Biol 29 (12):1220-3. PMID 16518275
  6. Higashiyama H, Sumitomo H, Ozawa A, Igarashi H, Tsunekawa N, Kurohmaru M, Kanai Y. (2016). Anatomy of the Murine Hepatobiliary System: A Whole-Organ-Level Analysis Using a Transparency Method. The Anatomical Record. 299(2):161-172. doi:10.1002/ar.23287 PMID 26559382
  7. Ono K, Hada R (1988) Ruggero Oddi. To commemorate the centennial of his original article--"Di una speciale disposizione a sfintere allo sbocco del coledoco". Jpn J Surg 18 (4):373-5. PMID 3050213


Further reading

This article is issued from Wikipedia - version of the 10/12/2016. The text is available under the Creative Commons Attribution/Share Alike but additional terms may apply for the media files.