Research Article
Volume 7 Issue 3 - 2020
The Endoscopic Management of Sphincter of Oddi Dysfunction
Sara Ghani*, Mohammed Acharki, Asmae Sarhani, Mouna Salihoun and Nawal Kabbaj
EFD-Hepatogastroenterology Unit, Ibn Sina Hospital, Mohammed V University of Rabat, Morocco
*Corresponding Author: Sara Ghani, EFD-Hepatogastroenterology Unit, Ibn Sina Hospital, Mohammed V University of Rabat, Morocco.
Received: January 03, 2020; Published: February 14, 2020




Abstract

Background and Aims: Sphincter of Oddi dysfunction (SOD) is a syndrome of chronic biliary pain or recurrent pancreatitis due to functional obstruction of pancreaticobiliary flow at the level of the sphincter of Oddi. This study aim is to review the management of SOD without performing sphincter of Oddi manometry or scintigraphy, as well to study the interest of ERCP for SOD diagnosis and treatment.

Methods: Ten patients (7,57%) with suspicion of SOD were analyzed; out of 132 ERCP performed between December 2017 to June 2019. Patients with malignant biliary obstruction or lithiasis biliary disease were excluded. We used the modified Milwaukee classification for all patients. All patients had an ERCP and the procedure’s success was defined by the resolution of symptoms and/or normalization of the liver function.

Results: According to the modified Milwaukee classification: the biliary SOD was classified as Type 1 in 10% (n = 1) of the cases, type 2 in 70% (n = 7) of the cases, type 3 in 20% (n = 2) of the cases. The cholangiopancreatography objectified dilatation of the common bile duct upstream a regular stenosis in 50% (n = 5) of cases with delayed contrast drainage (10 - 12 minutes) in 100% of the cases. All patients were treated using endoscopic sphincterotomy. The success of the procedure was 90% (n = 9) with 10% (n = 1) of complications.

Conclusion: Our preliminary results suggested that we can propose ERCP in diagnosing and treating patients with SOD type I and II without performing sphincter of Oddi manometry. However, other studies with a larger sample seem necessary to confirm these results.

Keywords: Sphincter of Oddi; Dysfunction; Biliary Pain; Endoscopic Sphincterotomy

References

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Citation: Sara Ghani., et al. “The Endoscopic Management of Sphincter of Oddi Dysfunction”. EC Gastroenterology and Digestive System 7.3 (2020): 01-06.

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