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Re: sphincter of oddi dysfunction

Subject: Re: sphincter of oddi dysfunction

Forum: The Gastroenterology and Liver Diseases Forum

Could you explain the procedure to relieve sphincter of oddi dysfunction pain.  We have been told there will be a cut in a specific area, with immediate results.  We were also told there could be complications from this procedure.  I would like to know what kind of complications there are.  Are they the normal complications associated with most surgeries?  Or are there more dangerous complications?  Thank you.

The procedure you describe is known as an ERCP with sphincterotomy (cutting the sphincter of Oddi).  ERCP is an endoscopic procedure which utilizes a side viewing endoscope that enables the endoscopist to access the bilary and pancreatic ducts.  The sphincterotome is a device consisting of a wire electrode in a plastic cannula.  After the cannula has been inserted into the sphincter, the wire is then elevated and electrocautery is used to cut the sphincter.  Complications resulting from sphincterotomy are well described and include perforation, bleeding, and pancreatitis.  Pancreatitis occurs in 5-10% of patients undergoing sphincterotomy with the vast majority of cases being only mild.  However, severe pancreatitis requiring prolonged hospitalization can occur in up to 1% of patients.  ERCP with sphincterotomy is the procedure of choice for patients with established sphincter of Oddi dysfunction.
This information is provided for general medical education purposes only.  Please consult your personal physician for diagnositic and treatment options pertaining to your specific medical condition.

Follow Ups:

sphincter of oddi dysfunction Kathy 6/07/1999

Re: sphincter of oddi dysfunction jan overturf 8/09/1999

sphincter of oddi dysfunction Susana 8/15/1999

Re: sphincter of oddi dysfunction jane cox 8/04/1999

Re: sphincter of oddi dysfunction Janet Davis 7/12/1999

sphincter of oddi dysfunction steve 8/11/1999

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