Prospective assessment of biliary scintigraphy (BS) compared to sphincter of oddi manometry (SOM) in patients with suspected sphincter of Oddi dysfunction

Esber, E.; Ruffolo, Thomas A.; Park, H; Siddiqui, Adnan H.; Earle, D.; Pezzi, J.; Gottlieb, Klaus; Sherman, S; Lehman, Glen A.

doi:10.1016/s0016-5107(05)80438-9

Cited by 5 publications

(2 citation statements)

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“…Isolated pancreatictype SOD may be seen in 15% to 20% of all patients with acute recurrent pancreatitis of unknown etiology. It has been estimated to occur in 25% of all patients undergoing manometry for suspected SOD [31][32][33][34][35] . Type 1 pancreatic SOD is characterized by the triad of pancreatic-type abdominal pain, elevated amylase and lipase levels, and a dilated main pancreatic duct [36.37] .…”

Section: Eps As Primary Therapymentioning

confidence: 99%

Pancreatic sphincterotomy: Technique, indications, and complications

Buscaglia

Kalloo²

2007

WJG

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Pancreatic sphincterotomy serves as the cornerstone of endoscopic therapy of the pancreas. Historically, its indications have been less well-defined than those of endoscopic biliary sphincterotomy, yet it plays a definite and useful role in diseases such as chronic pancreatitis and pancreatic-type sphincter of Oddi dysfunction. In the appropriate setting, it may be used as a single therapeutic maneuver, or in conjunction with other endoscopic techniques such as pancreatic stone extraction or stent placement. The current standard of practice utilizes two different methods of performing pancreatic sphincterotomy: a pull-type sphincterotome technique without prior stent placement, and a needleknife sphincterotome technique over an existing stent. The complications associated with pancreatic sphincterotomy are many, although acute pancreatitis appears to be the most common and the most serious of the early complications. As such, it continues to be reserved for those endoscopists who perform a relatively high-volume of therapeutic pancreaticobiliary endoscopic retrograde cholangio-pancreatography.

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Section: Eps As Primary Therapymentioning

confidence: 99%

Pancreatic sphincterotomy: Technique, indications, and complications

Buscaglia

Kalloo²

2007

WJG

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“…According to the classification of Hogan and Geenen [6], type I SOD patients do not need further diagnostic testing before sphincter ablation therapy. In 1995, Esber et al [44] reported that patients with low-grade obstruction tended to have normal scintigraphy, even with CCK provocation. However, our experience using the Hopkins Scintigraphic Scoring System to diagnose type II or III SOD has been excellent and has nearly obviated ESOM.…”

Section: The Current Role Of Biliary Scintigraphy In Sodmentioning

confidence: 99%

Efficacy of biliary scintigraphy in suspected sphincter of oddi dysfunction

Kalloo

2001

Curr Gastroenterol Rep

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Sphincter of Oddi dysfunction (SOD) can pose diagnostic challenges for the physician. SOD is classified into types I, II, and III, but clinical outcome after sphincterotomy for suspected types II and III SOD has been unpredictable. Therefore, accurate diagnosis of types II and III SOD is important because of the increased risk of sphincterotomy in patients with SOD. Endoscopic sphincter of Oddi manometry (ESOM) is the gold standard for diagnosis of SOD; however, it is associated with significant morbidity and is not an appropriate screening test. Quantitative hepatobiliary scintigraphy (QHBS) has demonstrated good sensitivity as a screening test for SOD in patients following cholecystectomy; however, studies using this methodology are criticized for poor design and patient selection. Recent publications address these criticisms and provide evidence that QHBS and ESOM are comparable diagnostic tools after exclusion of organic biliary obstruction. QHBS can effectively replace invasive ESOM in the diagnostic algorithm of SOD.

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Sphincter of Oddi Dysfunction

Fogel¹,

Sherman²

2005

Advanced Digestive Endoscopy: ERCP

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Prospective assessment of biliary scintigraphy (BS) compared to sphincter of oddi manometry (SOM) in patients with suspected sphincter of Oddi dysfunction

Cited by 5 publications

References 0 publications

Pancreatic sphincterotomy: Technique, indications, and complications

Pancreatic sphincterotomy: Technique, indications, and complications

Efficacy of biliary scintigraphy in suspected sphincter of oddi dysfunction

Sphincter of Oddi Dysfunction

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