Clinical disputes between sphincter of Oddi function and biliary system diseases
10.3760/cma.j.cn115610-20221028-00661
- VernacularTitle:奥迪括约肌功能与胆道系统疾病的临床争议
- Author:
Lau WANYEE
1
Author Information
1. 中华人民共和国香港特别行政区新界沙田香港中文大学医学院，沙田威尔斯亲王医院
- Keywords:
Sphincter of Oddi;
Dysfunction of sphincter;
Prophylactic laparoscopic cholecystectomy;
Endoscopic sphincterotomy;
Bile duct stone removal;
Laparoscopy
- From:
Chinese Journal of Digestive Surgery
2023;22(1):42-47
- CountryChina
- Language:Chinese
-
Abstract:
The link between sphincter of Oddi function with biliary system (gallbladder and bile duct) diseases is considered to be very complicated. Whether routine prophylactic laparos-copic cholecystectomy should be carried out after endoscopic sphincterotomy to remove bile duct stones has been controversial worldwide. Actually, this is a very common and important clinical question which needs to be answered. The author spends a lot of time and efforts to broadly read and analyze on published articles related to this topic, and tries, from the aspects of the anatomy and function of sphincter of Oddi, the biliary diseases causing by dysfunction or discordance of sphincter of Oddi, and the impacting of artificial destruction of sphincter of Oddi on the gallbladder and bile duct of patients, to come up with an answer to this question based on scientific and medical evidence.
