Frequency of sphincter of Oddi dysfunction in idiopathic pancreatitis

Fogel, E. L.; Eversman, D.; Yu, AC; Sherman, Stuart; Lehman, G.

doi:10.1016/s0016-5107(97)80429-4

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Sphincter Of Oddi Dysfunction1

Frequency Of Abnormal Pancreatic1

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1998

1999

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Cited by 2 publications

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“…Pancreatic sphincter hypertension therefore coexisted with biliary sphincter hypertension in approximately two-thirds of patients with SOD. In preliminary reports of a study in which both ducts were examined, Fogel et al [47,48] described high frequencies of basal sphincter abnormality of at least one duct in idiopathic pancreatitis patients (72 %) and chronic pancreatitis patients (57 %).…”

Section: Sphincter Of Oddi Dysfunctionmentioning

confidence: 99%

Therapeutic Biliary Endoscopy

Choudari¹,

Fogel²,

Kalayci³

et al. 1999

Endoscopy

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Section: Sphincter Of Oddi Dysfunctionmentioning

confidence: 99%

Therapeutic Biliary Endoscopy

Choudari¹,

Fogel²,

Kalayci³

et al. 1999

Endoscopy

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“…These series only recorded sphincter pressure in one duct (biliary or pancreatic) and often failed to report which duct was studied. When studying both ducts, Fogel et al (15,16) preliminarily reported higher frequencies of basal sphincter abnormality of at least one duct in idiopathic pancreatitis patients (72%) and chronic pancreatitis patients (57%).…”

Section: Frequency Of Abnormal Pancreaticmentioning

confidence: 99%

Hypertensive Pancreatic Sphincter

Lehman

Sherman

1998

Canadian Journal of Gastroenterology and Hepatology

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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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Frequency of sphincter of Oddi dysfunction in idiopathic pancreatitis

Cited by 2 publications

References 0 publications

Therapeutic Biliary Endoscopy

Therapeutic Biliary Endoscopy

Hypertensive Pancreatic Sphincter

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