| Literature DB >> 33716141 |
Gregory A Coté1, Haley Nitchie2, B Joseph Elmunzer2, Richard S Kwon3, Field F Willingham4, Sachin Wani5, Daniel Mullady6, Amitabh Chak7, Vikesh Singh8, Adam Slivka9, Shyam Varadarajulu10, Martin Freeman11, Srinivas Gaddam12, Priya Jamidar13, Paul Tarnasky14, Lydia Foster15, Peter B Cotton2.
Abstract
The concept that sphincter of Oddi dysfunction (SOD) can cause attacks of biliary-type pain in postcholecystectomy patients and those with unexplained recurrent acute pancreatitis, and that endoscopic sphincterotomy can ameliorate symptoms, remains unproven. The Evaluating Predictors and Interventions in Sphincter of Oddi Dysfunction (EPISOD) study of patients without objective evidence for biliary obstruction showed no difference in outcomes between those who underwent sphincterotomy or sham treatment.1 To date, there have been no studies examining the characteristics of patients who still are being offered endoscopic retrograde cholangiopancreatography (ERCP) for SOD since the EPISOD publication, although the absolute number appears to have declined.2.Entities:
Keywords: ERCP; Functional GI Disorders; Sphincter of Oddi Dysfunction; Sphincterotomy
Mesh:
Year: 2021 PMID: 33716141 PMCID: PMC9053091 DOI: 10.1016/j.cgh.2021.03.008
Source DB: PubMed Journal: Clin Gastroenterol Hepatol ISSN: 1542-3565 Impact factor: 13.576