首页|Medical treatment for sphincter of oddi dysfunction: Can it replace endoscopic sphincterotomy?
Medical treatment for sphincter of oddi dysfunction: Can it replace endoscopic sphincterotomy?
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NETL
NSTL
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AIM:To report the results of a medical management of sphincter of oddi dysfunction (SOD) after an intermediate follow-up period.METHODS:A total of 59 patients with SOD (2 men and 57 women,mean age 51 years old) were included in this prospective study.After medical treatment for one year,the patients were clinically re-evaluated after an average period of 30 mo.RESULTS:The distribution of the patients according to the Milwaukee's classification was the following:11patients were type 1,34 were type 2 and 14 were type 3.Fourteen patients underwent an endoscopic sphincterotomy (ES) after one year of medical treatment.The median intermediate follow-up period was 29.8 ±3 mo (3-72 mo).The initial effectiveness of the medical treatment was complete,partial and poor among 50.8％,13.5％ and 35％,respectively,of the patients.At the end of the follow-up period,37 patients (62.7％)showed more than 50％ improvement.The rate of improvement in patients who required ES was not significantly different compared with the patients treated conservatively (64.2％ vs 62.2％,respectively).CONCLUSION:Our study confirms that conservative medical treatment could be an alternative to endoscopic sphincterotomy because,after an intermediate follow-up period,the two treatments show the same success rates.
Sphincter of oddi dysfunctionCholecystectomyEndoscopic sphincterotomyBiliary scintigraphy
NETL
NSTL
万方数据
