Biliary dyskinesia other diagnostic studies: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Biliary dyskinesia}} | {{Biliary dyskinesia}} | ||
{{CMG}} {{AE}} {{SHA}} | |||
== Overview == | == Overview == | ||
[[Endoscopic retrograde cholangiopancreatography|ERCP]] and [[Sphincter of Oddi|Sphincter of Oddi (SOD)]] manometry may be used to rule out functional biliary [[Sphincter of Oddi|sphincter of Oddi (SOD)]] disorder in patients who have had a cholecystectomy.<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> Although [[Sphincter of Oddi|SOD]] manometry is the diagnostic tool for evaluating [[Sphincter of Oddi|SOD]] disorders, 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 [[Sphincter of Oddi|SOD]] disorders are: [[ultrasound]], [[HIDA scan]] and [[Magnetic resonance cholangiopancreatography|MRCP]].<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> | |||
== Other Diagnostic Studies == | == Other Diagnostic Studies == | ||
In order to rule out functional biliary [[Sphincter of Oddi|sphincter of Oddi (SOD)]] disorder in patients who have had cholecystectomy, the following may be used: | In order to rule out functional biliary [[Sphincter of Oddi|sphincter of Oddi (SOD)]] disorder 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 (SOD)]] manometry | *[[Sphincter of Oddi|Sphincter of Oddi (SOD)]] manometry | ||
Although [[Sphincter of Oddi|SOD]] manometry is the diagnostic tool for evaluating [[Sphincter of Oddi|SOD]] disorders, it is an [[Invasive (medical)|invasive]] procedure and has risk for [[Complication (medicine)|complications]]. | Although [[Sphincter of Oddi|SOD]] manometry is the diagnostic tool for evaluating [[Sphincter of Oddi|SOD]] disorders, 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 [[Sphincter of Oddi|SOD]] disorders are: | [[Non-invasive (medical)|Noninvasive]] procedures that may be used to evaluate and diagnose [[Sphincter of Oddi|SOD]] disorders 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) | ||
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*[[Magnetic resonance cholangiopancreatography|MRCP]] | *[[Magnetic resonance cholangiopancreatography|MRCP]] | ||
==References== | ==References== | ||
Revision as of 10:55, 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 (SOD) manometry may be used to rule out functional biliary sphincter of Oddi (SOD) disorder in patients who have had a cholecystectomy.[1] Although SOD manometry is the diagnostic tool for evaluating SOD disorders, it is an invasive procedure and has risk for complications.[2] Noninvasive procedures that may be used to evaluate and diagnose SOD disorders are: ultrasound, HIDA scan and MRCP.[3]
Other Diagnostic Studies
In order to rule out functional biliary sphincter of Oddi (SOD) disorder in patients who have had a cholecystectomy, the following may be used:[1]
Although SOD manometry is the diagnostic tool for evaluating SOD disorders, it is an invasive procedure and has risk for complications.[2]
Noninvasive procedures that may be used to evaluate and diagnose SOD disorders are:[3]
- Ultrasound (in order to measure the common bile duct (CBD) diameter)
- HIDA scan
- MRCP
References
- ↑ 1.0 1.1 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.
- ↑ 2.0 2.1 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.
- ↑ 3.0 3.1 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.