Long-term outcome after endoscopic sphincterotomy in patients with biliary colic and suspected sphincter of Oddi dysfunction

Botoman, V. Alin; Kozarek, Richard A.; Novell, Laura A.; Patterson, David J.; Ball, Terrance J.; Wechter, Debra G.; Neal, L. A.

doi:10.1016/s0016-5107(94)70160-1

Cited by 87 publications

(40 citation statements)

References 16 publications

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“…False-positive manometry results would skew the results heavily. The type 3 patient has only a 10% probability of pain relief when manometry results are normal [10][11][12][13][14][15].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic transgastric endoscopic retrograde cholangiopancreatography (ERCP) after gastric bypass: case series and a description of technique

2011

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The findings demonstrate that gastric bypass patients with biliary pain can be successfully evaluated endoscopically by laparoscopic transgastric ERCP for sphincter of Oddi dysfunction. The rate for technical success and complications does not appear to be significantly greater than for standard ERCP. A few helpful techniques were noted during this experience. Comparison of efficacy with that of a prior study was limited.

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“…False-positive manometry results would skew the results heavily. The type 3 patient has only a 10% probability of pain relief when manometry results are normal [10][11][12][13][14][15].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic transgastric endoscopic retrograde cholangiopancreatography (ERCP) after gastric bypass: case series and a description of technique

2011

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“…Sphincterotomy is generally recommended for group I patients, as well as for type II and III patients with abnormal sphincter of Oddi manometric (SOM) findings [2,9,10]. At present, there is debate regarding the value of manometry in detecting sphincter of Oddi dysfunction, which is not obvious from other clinical or radiological investigation [2].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic sphincterotomy for stenosis of the sphincter of Oddi

et al. 2001

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“…Surgical sphincterotomy is usually reserved when endoscopic therapy is not available or for restenosis after endoscopic intervention. The outcomes of 18 studies reporting efficacy of sphincterotomy are shown in Table 6 [3,7,8,26,28,34,37,[46][47][48][49][50][51][52][53]. Follow-up ranged from a mean 3 months to 3.1 years.…”

Section: Managementmentioning

confidence: 99%

“…Without ES, patients frequently improve with conservative management. Alternative diagnoses are often made including oesophageal dysmotility/gastroparesis and psychiatric conditions [48].…”

Section: Long-term Outcomes Per Milwaukee Typementioning

confidence: 99%

The diagnosis and management of Sphincter of Oddi dysfunction: a systematic review

Hall

Dennison

Garcea

2012

Langenbecks Arch Surg

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Non-invasive investigations currently lack sufficient sensitivities and specificities for routine use in diagnosing SOD. Type I SOD should be treated with ES without manometry. Manometry may be useful for Type II SOD. However, whilst data is lacking a therapeutic trial of Botox(TM) or trial stenting may bean alternative. Careful and thorough patient counselling is essential. Type III SOD is associated with high complications from manometry and poor outcomes from ES. Alternative diagnoses should be thoroughly sought and its management should be medical.

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Long-term outcome after endoscopic sphincterotomy in patients with biliary colic and suspected sphincter of Oddi dysfunction

Cited by 87 publications

References 16 publications

Laparoscopic transgastric endoscopic retrograde cholangiopancreatography (ERCP) after gastric bypass: case series and a description of technique

Laparoscopic transgastric endoscopic retrograde cholangiopancreatography (ERCP) after gastric bypass: case series and a description of technique

Endoscopic sphincterotomy for stenosis of the sphincter of Oddi

The diagnosis and management of Sphincter of Oddi dysfunction: a systematic review

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