Biliary Sphincter of Oddi Dysfunction Type I Versus Occult Biliary Microlithiasis in Post-cholecystectomy Patients: Are They Both Part of the Same Clinical Entity?

Farshad Elmi; William Silverman

doi:10.1007/s10620-009-0788-2

Back

Biliary Sphincter of Oddi Dysfunction Type I Versus Occult Biliary Microlithiasis in Post-cholecystectomy Patients: Are They Both Part of the Same Clinical Entity?

Journal article

Peer reviewed

Biliary Sphincter of Oddi Dysfunction Type I Versus Occult Biliary Microlithiasis in Post-cholecystectomy Patients: Are They Both Part of the Same Clinical Entity?

Farshad Elmi and William Silverman

Digestive diseases and sciences, Vol.55(3), pp.842-846

03/2010

DOI: 10.1007/s10620-009-0788-2

PMID: 19337835

View Online

Abstract

We speculate that biliary sphincter of Oddi dysfunction type I and symptomatic migrating biliary microlithiasis may be part of the same disease process. A retrospective analysis of prospectively collected data was carried out using procedure and diagnosis codes during the period of 1997–2006. Seventeen patients (age 51 ± 17; 94% women) with prior cholecystectomy, right upper quadrant/epigastric abdominal pain, elevated liver enzymes, dilated biliary ducts seen on ultrasound/CT scan were identified. The patients underwent ERCP with biliary endoscopic sphincterotomy. Nine (53%) had biliary microlithiasis and eight (47%) had biliary sphincter of Oddi dysfunction type I. They were followed for 2–108 weeks (median 9 weeks). 6/8 (75%) in biliary sphincter of Oddi dysfunction type I and 6/9 (67%) in biliary microlithiasis group had resolution of abdominal pain (P = 1.00). We conclude that the clinical improvement with biliary sphincterotomy for biliary sphincter of Oddi dysfunction type I versus occult biliary microlithiasis was not significantly different.

Biochemistry, general

Endoscopic retrograde cholangiopancreatography (ERCP)

Medicine & Public Health

Hepatology

Gastroenterology

Sphincter of Oddi dysfunction

Oncology

Endoscopic sphincterotomy (ES)

Transplant Surgery

Biliary microlithiasis

Details

Title: Subtitle: Biliary Sphincter of Oddi Dysfunction Type I Versus Occult Biliary Microlithiasis in Post-cholecystectomy Patients: Are They Both Part of the Same Clinical Entity?
Creators: Farshad Elmi - University of Iowa Hospitals & Clinics Iowa IA USA
William Silverman - University of Iowa Hospitals & Clinics Iowa IA USA
Resource Type: Journal article
Publication Details: Digestive diseases and sciences, Vol.55(3), pp.842-846
Publisher: Springer US
DOI: 10.1007/s10620-009-0788-2
PMID: 19337835
ISSN: 0163-2116
eISSN: 1573-2568
Language: English
Date published: 03/2010
Academic Unit: Gastroenterology and Hepatology; Internal Medicine
Record Identifier: 9984094352602771

Metrics

60 Record Views

2 Times Cited - Web of Science