Assessment of the reproducibility of quantitative hepatobiliary scintigraphy (QHBS) in patients with sphincter of Oddi dysfunction (SOD) – Inappropriate method or intermittent disease?

Cardiogenic shock and asphyxial cardiac arrest due to glutaric aciduria type II

“…The function of the Oddi sphincter could be tested through quantitative hepatobiliary scintigraphy, secretinstimulated magnetic resonance cholangiopancreatography, or sphincter of Oddi manometry. [13][14][15] However, the limitation without further detection in our case is due to the critical condition of the patient.…”

Sphincter of Oddi Dysfunction

“…49 Since then, several other clinical trials have demonstrated similar efficacy of endoscopic sphincter ablation in patients with manometrically reported hypertension. 29,50 Various other observational…”

“…However, HIDA can be equivocal if not misleading for biliary dyskinesia depending on patient nutritional and medication intake (ie, narcotic use) preceding the study. 28,29 Variation in radiologist infusion technique can also lead to highly inaccurate HIDA results, although scintigraphic scores have been proposed as an alternative noninvasive test of choice. 30,31 SOM is considered the gold standard for SOD investigation.…”

Sindrome post colecistectomia, revision de los complejos mecanismos y entendimiento de un Fenomeno Medico Quirurgico

“…La evidencia manométrica de una presión basal de EO elevada resultó ser el hallazgo diagnóstico más importante. La presión basal elevada (características manométricas de la estenosis del EO) tuvo una excelente reproducibilidad (Geenen et al, 1989) (Cotton et al, 2013)y se consideró un predictor confiable del resultado terapéutico satisfactorio en aquellos pacientes que estaban programados para una esfinterotomía endoscópica (Bertalan et al, 2003). En pacientes con DEO biliar tipo I o estenosis EO documentada por ESOM, una esfinterotomía endoscópica es la terapia de elección ya que se podría lograr un alivio sintomático significativo a largo plazo (Geenen et al, 1980).…”