Sphincter of Oddi Dysfunction: Dynamic Cholescintigraphy and Endoscopic Retrograde Cholangiopancreatography with Papillotomy in Diagnosis, Treatment, and Follow-up Study

Abstract

The study compares dynamic cholescintigraphy with traditional methods in diagnosing sphincter of Oddi dysfunction. Five patients with dysfunction of the sphincter, in accordance with traditional diagnostic criteria, are compared with 25 patients with postcholecystectomy syndrome. Dynamic cholescintigraphy showed complete separation of the two groups, T_max distinguishing better than T_max. The patients with sphincter dysfunction were treated with endoscopic papillotomy (EPT) for symptomatic relief. Three had early complications. At follow-up study the courses were uneventful. Their symptoms had disappeared or markedly improved, and dynamic cholescintigraphy was normalized. In conclusion, dynamic cholescintigraphy seems to be a reliable noninvasive method for identification and control of patients with sphincter of Oddi dysfunction suitable for treatment with EPT.

Key Words:

• Cholescintigraphy
• dyskinesia
• endoscopic retrograde cholangiopancreatography
• functional disorders
• papillotomy
• postcholecystectomy syndrome
• sphincter of Oddi
• stenosis