Patient factors include female gender, younger age, sphincter of oddi
dysfunction, cannulation difficulty, pancreatic divisum, previous history of post ERCP pancreatitis and operator factors include inexperienced operator, prolonged procedure time and repeated injection into pancreatic duct9.
Prophylactic pancreas stenting followed by needle-knife fistulotomy in patients with sphincter of Oddi
dysfunction and difficult cannulation: new method to prevent post-ERCP pancreatitis.
A typical configuration of a small, slit-like orifice, instead of the major duodenal papilla, is usually associated with a hook-shaped CBD and non-functioning sphincter of Oddi
Known or suspected biliary duct obstruction, or sphincter of Oddi
disease or dysfunction; a history of pancreatitis; structural diseases of the pancreas.
Periampullary diverticuli not only cause mechanical compression of the bile duct but also induce dysfunction of the sphincter of Oddi
It was found that iron deficiency resulted in altered motility of gallbladder and sphincter of Oddi
leading to biliary stasis and thus increased cholesterol crystal formation in the gallbladder bile.
Morphine and other opiates cause sphincter of Oddi
constriction resulting in the backflow of bile and filling of the GB.
12) Others have advocated endoscopic injection of botulinum into the sphincter of Oddi
to differentiate pain arising from the sphincter of Oddi
from pain in the gallbladder.
1,2) The AoV has an anatomic layer of mucosa, the sphincter of Oddi
, perisphincteric or duodenal submucosa, and duodenal proper muscle, which correspond to the mucosa, muscularis mucosa, submucosa, and proper muscle layers of other gastrointestinal tract organs, respectively.
13] Moreover, TENS has been shown to relax the lower oesophageal sphincter in patients with achalasia and to relax the sphincter of Oddi
in patients with biliary dyskinesia.
Criteria for functional gallbladder and sphincter of Oddi
9 November 2011 - Boston Scientific Corporation (NYSE:BSX) has received CE Mark for the use of its Wireguided Balloon Dilator for endoscopic dilation of the Sphincter of Oddi