New Research and Insight on Sphincter of Oddi Dysfunction
10.3969/j.issn.1008-7125.2017.05.002
- VernacularTitle:Oddi括约肌功能障碍:新研究和新认识
- Author:
Chunyan PENG
;
Xiaoping ZOU
- Keywords:
Sphincter of Oddi Dysfunction;
Manometry;
Sphincterotomy;
Endoscopic;
Rome Ⅳ Consensus
- From:
Chinese Journal of Gastroenterology
2017;22(5):262-265
- CountryChina
- Language:Chinese
-
Abstract:
Sphincter of Oddi dysfunction (SOD) refers to a series of clinical syndromes that occurs because of structural or functional disorders involving the biliary and/or pancreatic sphincters.It remains controversial whether endoscopic sphincter manometry (SOM) or sphincterotomy is needed in patients with type Ⅲ SOD.An important problem is that ERCP (with or without SOM) carries significant risks, especially the post-ERCP pancreatitis.The EPISOD trial has updated our knowledge on type Ⅲ SOD.The latest Rome Ⅳ consensus suggested that the classification term type Ⅲ biliary SOD should be abandoned and a new classification of biliary SOD was proposed;also, manometry and sphincterotomy were not recommended for patients with this type of SOD.The goal of this paper is to review recent literatures and elucidate the selected important questions regarding type Ⅲ SOD.
