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Update on Sphincter of Oddi Dysfunction: A Review

作     者:Jaimy Villavicencio Kim George Y.Wu Jaimy Villavicencio Kim;George Y.Wu

作者机构:Department of MedicineDivision of Gastroenterology-HepatologyUniversity of Connecticut Health CenterFarmingtonCTUSA 

出 版 物:《Journal of Clinical and Translational Hepatology》 (临床与转化肝病杂志(英文版))

年 卷 期:2022年第10卷第3期

页      面:515-521页

核心收录:

学科分类:1002[医学-临床医学] 100201[医学-内科学(含:心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主  题:Sphincter of Oddi Sphincter of Oddi dysfunction Common bile duct Manometry Sphincterotomy 

摘      要:Sphincter of Oddi dysfunction(SOD)encompasses a spectrum of clinical syndromes that are not fully understood,and various diagnostic and therapeutic methods have had varying results depending on the type of *** review explored various mechanisms that might play a role in SOD and methods of diagnosis and *** is important to rule out other causes of abdominal pain with laboratory testing,imaging studies,and endoscopic *** that affect sphincter motility should be identified as *** is the gold standard for diagnosis but it is not always *** example,patients with type I SOD may have symptomatic improvement with sphincterotomy without need for a diagnostic *** scintigraphy and fatty meal sonography may also have diagnostic *** is not always effective for symptomatic improvement in type II and III *** therapies with calcium channel blockers and botulinum toxin have been studied and might be considered as options after discussing the risks and benefits with the patients.

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