Biomaterial Database

Efficacy of biliary scintigraphy in suspected sphincter of Oddi dysfunction. 2001

S Jagannath, and A N Kalloo

The Johns Hopkins Hospital, 1830 East Monument Street, Room 419, Baltimore, MD 21205, USA. sanj87@hotmail.com

Sphincter of Oddi dysfunction (SOD) can pose diagnostic challenges for the physician. SOD is classified into types I, II, and III, but clinical outcome after sphincterotomy for suspected types II and III SOD has been unpredictable. Therefore, accurate diagnosis of types II and III SOD is important because of the increased risk of sphincterotomy in patients with SOD. Endoscopic sphincter of Oddi manometry (ESOM) is the gold standard for diagnosis of SOD; however, it is associated with significant morbidity and is not an appropriate screening test. Quantitative hepatobiliary scintigraphy (QHBS) has demonstrated good sensitivity as a screening test for SOD in patients following cholecystectomy; however, studies using this methodology are criticized for poor design and patient selection. Recent publications address these criticisms and provide evidence that QHBS and ESOM are comparable diagnostic tools after exclusion of organic biliary obstruction. QHBS can effectively replace invasive ESOM in the diagnostic algorithm of SOD.

UI	MeSH Term	Description	Entries
D009803	Sphincter of Oddi	The sphincter of the hepatopancreatic ampulla within the duodenal papilla. The COMMON BILE DUCT and main pancreatic duct pass through this sphincter.	Oddi's Sphincter,Oddi Sphincter,Oddis Sphincter,Sphincter, Oddi's
D010149	Pain, Postoperative	Pain during the period after surgery.	Acute Post-operative Pain,Acute Postoperative Pain,Chronic Post-operative Pain,Chronic Post-surgical Pain,Chronic Postoperative Pain,Chronic Postsurgical Pain,Pain, Post-operative,Persistent Postsurgical Pain,Post-operative Pain,Post-operative Pain, Acute,Post-operative Pain, Chronic,Post-surgical Pain,Postoperative Pain, Acute,Postoperative Pain, Chronic,Postsurgical Pain,Postoperative Pain,Acute Post operative Pain,Chronic Post operative Pain,Chronic Post surgical Pain,Chronic Postsurgical Pains,Pain, Acute Post-operative,Pain, Acute Postoperative,Pain, Chronic Post-operative,Pain, Chronic Post-surgical,Pain, Chronic Postoperative,Pain, Chronic Postsurgical,Pain, Persistent Postsurgical,Pain, Post operative,Pain, Post-surgical,Pain, Postsurgical,Post operative Pain,Post operative Pain, Acute,Post operative Pain, Chronic,Post surgical Pain,Post-operative Pains,Post-surgical Pain, Chronic,Postsurgical Pain, Chronic,Postsurgical Pain, Persistent
D011877	Radionuclide Imaging	The production of an image obtained by cameras that detect the radioactive emissions of an injected radionuclide as it has distributed differentially throughout tissues in the body. The image obtained from a moving detector is called a scan, while the image obtained from a stationary camera device is called a scintiphotograph.	Gamma Camera Imaging,Radioisotope Scanning,Scanning, Radioisotope,Scintigraphy,Scintiphotography,Imaging, Gamma Camera,Imaging, Radionuclide
D003137	Common Bile Duct Diseases	Diseases of the COMMON BILE DUCT including the AMPULLA OF VATER and the SPHINCTER OF ODDI.
D005769	Gastrointestinal Motility	The motor activity of the GASTROINTESTINAL TRACT.	Intestinal Motility,Gastrointestinal Motilities,Intestinal Motilities,Motilities, Gastrointestinal,Motilities, Intestinal,Motility, Gastrointestinal,Motility, Intestinal
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001659	Biliary Tract	The BILE DUCTS and the GALLBLADDER.	Biliary System,Biliary Tree,System, Biliary,Tract, Biliary,Tree, Biliary
D014481	United States	A country in NORTH AMERICA between CANADA and MEXICO.
D017562	Postcholecystectomy Syndrome	Abdominal symptoms after removal of the GALLBLADDER. The common postoperative symptoms are often the same as those present before the operation, such as COLIC, bloating, NAUSEA, and VOMITING. There is pain on palpation of the right upper quadrant and sometimes JAUNDICE. The term is often used, inaccurately, to describe such postoperative symptoms not due to gallbladder removal.	Postcholedochoduodenostomy Syndrome,Postcholedochojejunostomy Syndrome,Postcholedochostomy Syndrome,Sump Syndrome,Post-Cholecystectomy Syndrome,Post-Choledochoduodenostomy Syndrome,Post-Choledochojejunostomy Syndrome,Post-Choledochostomy Syndrome,Post Cholecystectomy Syndrome,Post Choledochoduodenostomy Syndrome,Post Choledochojejunostomy Syndrome,Post Choledochostomy Syndrome,Post-Cholecystectomy Syndromes,Post-Choledochoduodenostomy Syndromes,Post-Choledochojejunostomy Syndromes,Post-Choledochostomy Syndromes,Postcholecystectomy Syndromes,Postcholedochoduodenostomy Syndromes,Postcholedochojejunostomy Syndromes,Postcholedochostomy Syndromes,Sump Syndromes,Syndrome, Post-Cholecystectomy,Syndrome, Post-Choledochoduodenostomy,Syndrome, Post-Choledochojejunostomy,Syndrome, Post-Choledochostomy,Syndrome, Postcholecystectomy,Syndrome, Postcholedochoduodenostomy,Syndrome, Postcholedochojejunostomy,Syndrome, Postcholedochostomy,Syndrome, Sump,Syndromes, Post-Cholecystectomy,Syndromes, Post-Choledochoduodenostomy,Syndromes, Post-Choledochojejunostomy,Syndromes, Post-Choledochostomy,Syndromes, Postcholecystectomy,Syndromes, Postcholedochoduodenostomy,Syndromes, Postcholedochojejunostomy,Syndromes, Postcholedochostomy,Syndromes, Sump