PMID: 9187879May 1, 1997Paper

Endoscopic bile duct stent placement as a predictor of outcome following endoscopic sphincterotomy in patients with suspected sphincter of Oddi dysfunction

European Journal of Gastroenterology & Hepatology
P Rolny

Abstract

To determine whether symptomatic improvement following placement of endoscopic stent across the biliary sphincter could predict the longer-term clinical outcome after endoscopic sphincterotomy (ES). Twenty-three post-cholecystectomy patients with suspected sphincter of Oddi dysfunction underwent, sequentially, sphincter of Oddi manometry, endoscopic stent placement, ES, and follow-up for a further 6-12 months. Eight (35%) patients either did not respond (n = 5), did not tolerate the stent (n = 1) or relapsed during stenting (n = 2). Only the patient who did not tolerate the stent from the outset (12%) improved after ES. Of five patients who responded to stenting and had ES within 8 weeks, only two (40%) remained asymptomatic. In contrast, of 10 patients who were pain-free during 12-14 weeks of stenting, nine (90%) continued to be asymptomatic after ES. All seven patients with an elevated sphincter of Oddi pressure responded to stenting and six benefited from sphincter ablation. Five (31%) of 16 patients who had normal sphincter pressure and had improvement after 12-14 weeks of stenting remained free from pain following ES. ES resulted in long-term freedom from pain in 12 of the 23 patients: six of the seven patients with elevat...Continue Reading

Citations

Jun 13, 2012·Langenbeck's Archives of Surgery·Thomas C HallGiuseppe Garcea
Nov 30, 2000·Current Treatment Options in Gastroenterology·G R Lichtenstein, M A Dabezies
Apr 17, 2004·Journal of Clinical Gastroenterology·Giuseppe PiccinniGiovanni Martino Bonomo
Apr 2, 2013·Gastrointestinal Endoscopy Clinics of North America·Wesley D Leung, Stuart Sherman
May 23, 2015·Der Internist·H-D Allescher
Mar 30, 2002·Gastrointestinal Endoscopy·Thomas RabensteinH Thomas Schneider
Aug 2, 2015·Gastrointestinal Endoscopy·Tae Hyeon KimTodd H Baron
Nov 4, 2016·Expert Review of Gastroenterology & Hepatology·Paul R Tarnasky
Jun 4, 2002·The American Journal of Gastroenterology·Colm O'LoughlinArvey I Rogers
Sep 25, 2001·The American Journal of Gastroenterology·M J Levy, J E Geenen
Jun 29, 2006·World Journal of Gastroenterology : WJG·Lana Bistritz, Vincent G Bain
Nov 1, 2001·The Cochrane Database of Systematic Reviews·A G Craig, J Toouli
Mar 15, 2005·Scandinavian Journal of Gastroenterology·Peter Rolny

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