Home
  >  
Section 52
  >  
Chapter 51,794

Biliary sphincter of Oddi dysfunction type i versus occult biliary microlithiasis in post-cholecystectomy patients: are they both part of the same clinical entity?

Elmi, F.; Silverman, W.B.

Digestive Diseases and Sciences 55(3): 842-846

2010


ISSN/ISBN: 1573-2568
PMID: 19337835
DOI: 10.1007/s10620-009-0788-2
Accession: 051793671

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.

PDF emailed within 0-6 h: $19.90