Biliary dyskinesia other diagnostic studies: Difference between revisions
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== Overview == | == Overview == | ||
[[Endoscopic retrograde cholangiopancreatography|ERCP]] and [[Sphincter of Oddi | [[Endoscopic retrograde cholangiopancreatography|ERCP]] and [[Sphincter of Oddi]] manometry may be used to rule out functional biliary [[sphincter of Oddi]] disorder (SOD) in patients who have had a cholecystectomy. Although [[sphincter of Oddi]] manometry is the diagnostic tool for evaluating [[sphincter of Oddi]] disorders (SOD), it is an [[Invasive (medical)|invasive]] procedure and has risk for [[Complication (medicine)|complications]]. | ||
== Other Diagnostic Studies == | == Other Diagnostic Studies == | ||
In order to rule out functional biliary [[ | In order to rule out functional biliary [[sphincter of Oddi]] disorder (SOD) in patients who have had a cholecystectomy, the following may be used:<ref name="pmid30846030">{{cite journal| author=Clark CJ| title=An Update on Biliary Dyskinesia. | journal=Surg Clin North Am | year= 2019 | volume= 99 | issue= 2 | pages= 203-214 | pmid=30846030 | doi=10.1016/j.suc.2018.11.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30846030 }} </ref> | ||
*[[Endoscopic retrograde cholangiopancreatography|Endoscopic retrograde pancreaticocholangiography (ERCP)]] | *[[Endoscopic retrograde cholangiopancreatography|Endoscopic retrograde pancreaticocholangiography (ERCP)]] | ||
*[[Sphincter of Oddi | *[[Sphincter of Oddi]] manometry | ||
Although [[ | Although [[sphincter of Oddi]] manometry is the diagnostic tool for evaluating [[sphincter of Oddi]] disorders (SOD), it is an [[Invasive (medical)|invasive]] procedure and has risk for [[Complication (medicine)|complications]].<ref name="pmid29132521">{{cite journal| author=Wilkins T, Agabin E, Varghese J, Talukder A| title=Gallbladder Dysfunction: Cholecystitis, Choledocholithiasis, Cholangitis, and Biliary Dyskinesia. | journal=Prim Care | year= 2017 | volume= 44 | issue= 4 | pages= 575-597 | pmid=29132521 | doi=10.1016/j.pop.2017.07.002 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29132521 }} </ref> | ||
[[Non-invasive (medical)|Noninvasive]] procedures that may be used to evaluate and diagnose [[ | [[Non-invasive (medical)|Noninvasive]] procedures that may be used to evaluate and diagnose [[sphincter of Oddi]] disorders (SOD) are:<ref name="pmid16842450">{{cite journal| author=Sgouros SN, Pereira SP| title=Systematic review: sphincter of Oddi dysfunction--non-invasive diagnostic methods and long-term outcome after endoscopic sphincterotomy. | journal=Aliment Pharmacol Ther | year= 2006 | volume= 24 | issue= 2 | pages= 237-46 | pmid=16842450 | doi=10.1111/j.1365-2036.2006.02971.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16842450 }} </ref> | ||
*[[Ultrasound]] (in order to measure the [[Common bile duct|common bile duct (CBD)]] diameter) | *[[Ultrasound]] (in order to measure the [[Common bile duct|common bile duct (CBD)]] diameter) | ||
Latest revision as of 14:17, 13 August 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shakiba Hassanzadeh, MD[2]
Overview
ERCP and Sphincter of Oddi manometry may be used to rule out functional biliary sphincter of Oddi disorder (SOD) in patients who have had a cholecystectomy. Although sphincter of Oddi manometry is the diagnostic tool for evaluating sphincter of Oddi disorders (SOD), it is an invasive procedure and has risk for complications.
Other Diagnostic Studies
In order to rule out functional biliary sphincter of Oddi disorder (SOD) in patients who have had a cholecystectomy, the following may be used:[1]
Although sphincter of Oddi manometry is the diagnostic tool for evaluating sphincter of Oddi disorders (SOD), it is an invasive procedure and has risk for complications.[2]
Noninvasive procedures that may be used to evaluate and diagnose sphincter of Oddi disorders (SOD) are:[3]
- Ultrasound (in order to measure the common bile duct (CBD) diameter)
- HIDA scan
- MRCP
References
- ↑ Clark CJ (2019). "An Update on Biliary Dyskinesia". Surg Clin North Am. 99 (2): 203–214. doi:10.1016/j.suc.2018.11.004. PMID 30846030.
- ↑ Wilkins T, Agabin E, Varghese J, Talukder A (2017). "Gallbladder Dysfunction: Cholecystitis, Choledocholithiasis, Cholangitis, and Biliary Dyskinesia". Prim Care. 44 (4): 575–597. doi:10.1016/j.pop.2017.07.002. PMID 29132521.
- ↑ Sgouros SN, Pereira SP (2006). "Systematic review: sphincter of Oddi dysfunction--non-invasive diagnostic methods and long-term outcome after endoscopic sphincterotomy". Aliment Pharmacol Ther. 24 (2): 237–46. doi:10.1111/j.1365-2036.2006.02971.x. PMID 16842450.