For about a year I had a constant pain behind my rib cage (upper right quadrant) that felt like I had a tennis ball lodged inside me. In May 2004 I was diagnosed with common bile duct obstruction and had an ERCP with a sphincterotomy. About 3 months later the pain behind my rib cage returned. In October 2004 I had an ERCP with manometry, during which I was diagnosed with Sphincter of Oddi Dysfunction. Another sphinterotomy was performed. Unfortunately, the procedure resulted in severe acute pancreatitis. Four months later, I still have some inflammation, but not that severe. I am concerned because the pain behind my rib cage is coming back.
1) What is the liklihood that the sphincterotomy was not successful and that the SOD is back?
2) If it is SOD, can it be corrected using external surgical methods? Does surgery pose the same risk for pancreatitis?
3) What risks are involved with doing nothing, assuming I can learn to live with the pain?
Thanks for your input, I really appreciate it.