Sphincter of Oddi Dysfunction: Overdue for an Overhaul

Baillie, John

doi:10.1111/j.1572-0241.2005.50393.x

Cited by 26 publications

(12 citation statements)

References 28 publications

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“…Sgouros and Pereira [ 37 ] documented 169 patients with manometrically proven biliary SOD type III, only 37% of whom (range, 8% to 62%) demonstrated sustained benefi t from ES. Baillie [ 38 ] postulated that many of these patients have visceral hyperalgesia, with intolerance of gaseous distention producing their symptoms. As with GBD, Wehrman et al [ 39 ] addressed the issue of longer follow-up, noting that the symptomatic improvement at 4 to 6 weeks' follow-up for SOD type II (70%) and SOD type III (39%) dropped signifi cantly with longer follow-up.…”

Section: Biliary Sod: Sphincter Ablationmentioning

confidence: 99%

Biliary dyskinesia in the pediatric patient

Halata

Berezin²

2008

Curr Gastroenterol Rep

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The term biliary dyskinesia commonly describes a motility disorder of the biliary tract that is divided into two main categories: gallbladder dyskinesia (GBD) and sphincter of Oddi dysfunction (SOD). SOD is further subdivided into biliary SOD and pancreatic SOD. GBD causes typical biliary colic without gallstones, whereas SOD typically presents with recurrent pancreatitis or chronic abdominal pain, usually after cholecystectomy. GBD and SOD are uncommon in children. Based on adult experience, this review discusses the diagnosis and treatment of GBD and SOD in the pediatric population.

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Section: Biliary Sod: Sphincter Ablationmentioning

confidence: 99%

Biliary dyskinesia in the pediatric patient

Halata

Berezin²

2008

Curr Gastroenterol Rep

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“…It is using these abnormalities that the Milwaukee classification has been used to describe SOD (Table 2) [3]. The usefulness of the classification has been the topic of many reviews that call for a revised or modified method with the advent of newer diagnostic and treatment modalities [4].…”

Section: Introductionmentioning

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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“…The Milwaukee classification originally categorizes SOD into three types, separating functional biliary and pancreatic sphincter of Oddi disorders on the basis of symptoms, laboratory tests and radiological imaging [8,[62][63][64][65] (Table 4). As these require an invasive procedure, endoscopic cholangiopancreatography (ERCP), to measure common duct size and biliary drainage, the criteria have been revised to use non-invasive imaging for estimating duct size of on an abdominal ultrasound [64]. Pancreatic type pain, and one of the above criteria (laboratory or imaging)…”

Section: Functional Sphincter Of Oddi Disorder (Sod)mentioning

confidence: 99%