Medical treatment for sphincter of oddi dysfunction:Can it replace endoscopic sphincterotomy?

作     者：Véronique Vitton Salah Ezzedine Jean-Michel Gonzalez Mohamed Gasmi Jean-Charles Grimaud Marc Barthet 

作者机构：Department of GastroenterologyHôpital NordChemin des Bourrely13915 Marseille cedex 20France 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2012年第18卷第14期

页      面：1610-1615页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Sphincter of oddi dysfunction Cholecystectomy Endoscopic sphincterotomy Biliary scintigraphy 

摘      要：AIM:To report the results of a medical management of sphincter of oddi dysfunction(SOD) after an intermediate follow-up ***:A total of 59 patients with SOD(2 men and 57 women,mean age 51 years old) were included in this prospective *** medical treatment for one year,the patients were clinically re-evaluated after an average period of 30 ***:The distribution of the patients according to the Milwaukee s classification was the following:11 patients were type 1,34 were type 2 and 14 were type *** patients underwent an endoscopic sphincterotomy(ES) after one year of medical *** median intermediate follow-up period was 29.8 ± 3 mo(3-72 mo).The initial effectiveness of the medical treatment was complete,partial and poor among 50.8%,13.5% and 35%,respectively,of the *** the end of the follow-up period,37 patients(62.7%) showed more than 50% *** rate of improvement in patients who required ES was not significantly different compared with the patients treated conservatively(64.2% vs 62.2%,respectively).CONCLUSION:Our study confirms that conservative medical treatment could be an alternative to endoscopic sphincterotomy because,after an intermediate follow-up period,the two treatments show the same success rates.