Excellent Results of Biliary Sphincterotomy for Sphincter of Oddi Dysfunction (Modified Criteria)

Endoscopy ◽  
2006 ◽  
Vol 38 (11) ◽  
Author(s):  
AR Aftab ◽  
G Cullen ◽  
F Zeb ◽  
G Courtney
Keyword(s):  
Sphincter Of Oddi ◽  
Sphincter Of Oddi Dysfunction ◽  
Biliary Sphincterotomy ◽  
Oddi Dysfunction

scholarly journals Sphincter of Oddi Dysfunction: A Perplexing Presentation

2016 ◽  
Vol 10 (3) ◽  
pp. 714-719 ◽  
Author(s):  
Sana Ahmad Din ◽  
Iman Naimi ◽  
Mirza Beg
Keyword(s):  
Abdominal Pain ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Sphincter Of Oddi ◽  
Abdominal Ultrasound ◽  
Sphincter Of Oddi Dysfunction ◽  
Sphincter Pressure ◽  
Abdominal Symptoms ◽  
Biliary Sphincterotomy ◽  
Bile Drainage ◽  
Oddi Dysfunction

Sphincter of Oddi dysfunction is caused by stenosis or dyskinesia of the sphincter of Oddi, leading to blockage of bile drainage from the common bile duct. We present the case of a 16-year-old female with chronic abdominal pain who underwent laparoscopic cholecystectomy for cholelithiasis but continued to experience abdominal pain, nausea, and vomiting along with persistently elevated ALT and AST levels. Postoperative abdominal ultrasound was nondiagnostic. Esophagogastroduodenoscopy showed mild reflux esophagitis and mild chronic Helicobacter pylori-negative gastritis. Omeprazole was started, but it did not decrease the frequency and severity of the abdominal symptoms. Magnetic resonance cholangiopancreatography did not reveal any pathology. Endoscopic retrograde cholangiopancreatography with manometry confirmed an elevated biliary sphincter pressure. Biliary sphincterotomy was performed, and the symptoms improved.

Pancreatic stenting prevents pancreatitis after biliary sphincterotomy in patients with sphincter of Oddi dysfunction

1998 ◽  
Vol 115 (6) ◽  
pp. 1518-1524 ◽  
Author(s):  
Paul R. Tarnasky ◽  
Yuko Y. Palesch ◽  
John T. Cunningham ◽  
Patrick D. Mauldin ◽  
Peter B. Cotton ◽  
...  
Keyword(s):  
Sphincter Of Oddi ◽  
Sphincter Of Oddi Dysfunction ◽  
Biliary Sphincterotomy ◽  
Oddi Dysfunction

Repeat pancreatic sphincter manometry after biliary sphincterotomy in patients with sphincter of oddi dysfunction

1997 ◽  
Vol 45 (4) ◽  
pp. AB151
Author(s):  
PR Tamasky ◽  
JT Cunningham ◽  
W.L. Knapple ◽  
KG Yeoh ◽  
C McPherson ◽  
...  
Keyword(s):  
Sphincter Of Oddi ◽  
Sphincter Of Oddi Dysfunction ◽  
Biliary Sphincterotomy ◽  
Oddi Dysfunction

scholarly journals Hypertensive Pancreatic Sphincter

1998 ◽  
Vol 12 (5) ◽  
pp. 333-337 ◽  
Author(s):  
Glen A Lehman ◽  
Stuart Sherman
Keyword(s):  
Sphincter Of Oddi ◽  
Treatment Session ◽  
Noninvasive Testing ◽  
Sphincter Of Oddi Dysfunction ◽  
Sphincter Pressure ◽  
Endoscopic Retrograde ◽  
Biliary Sphincterotomy ◽  
Oddi Dysfunction ◽  
Low Sensitivity ◽  
Pancreatic Sphincterotomy

Major papilla pancreatic sphincter dysfunction, a variant of sphincter of Oddi dysfunction, causes pancreatitis or pancreatic-type pain. Endoscopic manometry as performed at endoscopic retrograde cholangiography is the most commonly used method to identify sphincter dysfunction. Noninvasive testing, such as secretin-stimulated ultrasound analysis of duct diameter, is less reliable and of relatively low sensitivity. Two-thirds of patients with sphincter of Oddi dysfunction have elevated pancreatic basal sphincter pressure. Patients with suspected or documented sphincter of Oddi dysfunction may respond to biliary sphincterotomy alone, but warrant evaluation of their pancreatic sphincter if symptoms persist after therapy. Whether such pancreatic and biliary sphincters should be treated at the first treatment session is controversial. Pancreatic sphincterotomy is associated with a complication rate very similar to that of biliary sphincterotomy except that the pancreatitis rate is two- to fourfold higher. Prophylactic pancreatic stenting diminishes such pancreatitis by approximately 50%.

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