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Prevalence of sphincter of Oddi dysfunction in patients referred to endoscopic retrograde cholangiopancreatography.

Prevalence of sphincter of Oddi dysfunction in patients referred to endoscopic retrograde cholangiopancreatography. Research Abstract Details 

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  • Prevalence of sphincter of Oddi dysfunction in patients referred to endoscopic retrograde cholangiopancreatography. Abstract Text:

    ermelindo della liberaErmelindo Della Libera,rodrigo azevedo rodriguesRodrigo Azevedo Rodrigues,ana paula rodrigues Ana Paula Rodrigues ,gustavo andrade de pauloGustavo Andrade de Paulo,stephan geoczeStephan Geocze,angelo paulo ferrariAngelo Paulo Ferrari,ermelindo della liberaErmelindo Della Libera,rodrigo azevedo rodriguesRodrigo Azevedo Rodrigues,ana paula rodrigues guimarãesAna Paula Rodrigues Guimarães,gustavo andrade de pauloGustavo Andrade de Paulo,stephan geoczeStephan Geocze,angelo paulo ferrariAngelo Paulo Ferrari,

    BACKGROUND: Sphincter of Oddi manometry is the gold-standard method for sphincter of Oddi dysfunction. The prevalence of sphincter of Oddi dysfunction among patients referred to endoscopic retrograde cholangiopancreatography is largely unknown. AIM: To evaluate prospectively the prevalence of biliary sphincter of Oddi dysfunction (B-SOD) among Brazilian patients referred to endoscopic retrograde cholangiopancreatography and to study the safety of sphincter of Oddi manometry in this setting. METHODS: Biliary sphincter of Oddi manometry was intended in 110 patients referred to endoscopic retrograde cholangiopancreatography. The number of attempts to obtain deep cannulation with the manometry catheter was recorded and patients were divided into two groups: up to 5 (easy cannulation) and >5 attempts (difficult cannulation). RESULTS: Sphincter of Oddi manometry was successful in 71/110 patients (64.5%). Sphincter of Oddi dysfunction was found in 18/71 patients (25%). Endoscopic retrograde cholangiopancreatography findings were: normal in 16, biliary stones in 39, malignant biliary strictures in 9 and benign biliary strictures in 7. There was no statistical difference in sphincter of Oddi dysfunction prevalence regarding disease, gender or difficulty of cannulation. Only 2/71 patients developed post-procedure mild pancreatitis. CONCLUSIONS: We have found a high prevalence of sphincter of Oddi dysfunction in patients referred to endoscopic retrograde cholangiopancreatography. Gender, nature of disease or difficulty of cannulation did not influence the prevalence of sphincter of Oddi dysfunction among these patients. Sphincter of Oddi manometry is a safe procedure for the evaluation of sphincter of Oddi dysfunction in patients referred to endoscopic retrograde cholangiopancreatography.

    Prevalence of sphincter of Oddi dysfunction in patients referred to endoscopic retrograde cholangiopancreatography. Publishing Authors By Initials

    e della liberaE Della Libera,ra rodriguesRA Rodrigues,ap AP ,ga pauloGA Paulo,s geoczeS Geocze,ap ferrariAP Ferrari,e della liberaE Della Libera,ra rodriguesRA Rodrigues,ap guimarãesAP Guimarães,ga pauloGA Paulo,s geoczeS Geocze,ap ferrariAP Ferrari,

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    Prevalence of sphincter of Oddi dysfunction in patients referred to endoscopic retrograde cholangiopancreatography. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: Arquivos de gastroenterologia

    VOLUME: 44

    Page Numbers: 18-21

    Journal Abbreviation:

    ISSN: 0004-2803

    DAY: 19

    MONTH: 07

    YEAR: 2007

    Prevalence of sphincter of Oddi dysfunction in patients referred to endoscopic retrograde cholangiopancreatography. Information

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    LANGUAGE: eng

    NlmUniqueID: 15310600

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    Grant and Affiliation Information for Prevalence of sphincter of Oddi dysfunction in patients referred to endoscopic retrograde cholangiopancreatography.

    AFFILIATION: Discipline of Gastroenterology, São Paulo Federal University, Escola Paulista de Medicina - UNIFESP/EPM, São Paulo, SP, Brazil

    Country: Brazil

    Brazil Research PublicationBrazil Research Publication

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    MEDLINETA: Arq Gastroenterol

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