Sphincter of Oddi response to caerulein after endoscopic sphincterotomy for papillary stenosis

1989 ◽  
Vol 3 (4) ◽  
pp. 216-219 ◽  
Author(s):  
Akihiro Yasui ◽  
Yuji Nimura ◽  
Junichi Kamiya ◽  
Tetsuo Hayakawa ◽  
Tokimune Shibata ◽  
...  
Keyword(s):  
Endoscopic Sphincterotomy ◽  
Sphincter Of Oddi ◽  
Papillary Stenosis

scholarly journals Manometric Diagnosis of Sphincter of Oddi Spasm as a Cause of Postcholecystectomy Pain and the Treatment by Endoscopic Sphincterotomy

1985 ◽  
Vol 202 (6) ◽  
pp. 712-719 ◽  
Author(s):  
MASAO TANAKA ◽  
SEIYO IKEDA ◽  
SHINJI MATSUMOTO ◽  
HIDEO YOSHIMOTO ◽  
FUMIO NAKAYAMA
Keyword(s):  
Endoscopic Sphincterotomy ◽  
Sphincter Of Oddi ◽  
Postcholecystectomy Pain

scholarly journals Clinical features and management of painless biliary type sphincter of Oddi dysfunction

2019 ◽  
Vol 47 (7) ◽  
pp. 2940-2950
Author(s):  
Hiroyuki Miyatani ◽  
Hirosato Mashima ◽  
Masanari Sekine ◽  
Satohiro Matsumoto
Keyword(s):  
Bile Duct ◽  
Liver Dysfunction ◽  
Endoscopic Sphincterotomy ◽  
Sphincter Of Oddi ◽  
Sphincter Of Oddi Dysfunction ◽  
Short Term ◽  
Biliary Pain ◽  
Oddi Dysfunction ◽  
Acute Cholestasis ◽  
Symptom Recurrence

Objective The objective of this study was to clarify the characteristics and management of painless biliary type sphincter of Oddi dysfunction (SOD). Methods From June 2002 to July 2018, 12 patients who had recurrent liver dysfunction with a dilated bile duct or acute cholestasis of unknown cause without biliary pain (painless SOD) were included in this study. These patients’ characteristics were compared with those of 36 patients with biliary type SOD based on the conventional definition (criteria-based SOD). Results Patients with painless SOD had significantly more prominent bile duct dilation than patients with criteria-based SOD (13.9 vs. 12.2 mm, respectively). Prophylactic biliary drainage was performed significantly more often in patients with painless SOD than criteria-based SOD (67% vs. 11%, respectively). The short-term effectiveness rate of endoscopic sphincterotomy, the symptom recurrence rate, and the incidence of adverse events were not significantly different between the two groups. Conclusions Painless SOD is a specific subtype of biliary SOD that causes recurring liver dysfunction or acute cholestasis without biliary pain. Endoscopic sphincterotomy was effective in the present study, but the relapse rate was as high as that in typical SOD.

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