Rome IV. Gallbladder and Sphincter of Oddi Disorders.

@article{Cotton2016RomeIG,
  title={Rome IV. Gallbladder and Sphincter of Oddi Disorders.},
  author={Peter B. Cotton and Grace H. Elta and Christopher Ross Carter and Pankaj Jay Pasricha and Enrico Stefano Corazziari},
  journal={Gastroenterology},
  year={2016}
}
The concept that motor disorders of the gallbladder, cystic duct and sphincter of Oddi can cause painful syndromes is attractive and popular, at least in the USA. However, the results of commonly performed ablative treatments (cholecystectomy and sphincterotomy) are not uniformly good. The predictive value of tests that are often used to diagnose dysfunction (dynamic gallbladder scintigraphy and sphincter manometry) is controversial. Evaluation and management of these patients is made difficult… 
Post-cholecystectomy syndrome and sphincter of Oddi dysfunction: past, present and future
  • P. Tarnasky
  • Medicine
    Expert review of gastroenterology & hepatology
  • 2016
TLDR
This review encompasses the literature from a century of experience on the topic of post-cholecystectomy syndrome and the concept of a causal relationship to sphincter of Oddi dysfunction, despite the controversy, and suggests that patients with post- cholecyStectomy syndrome can be categorized as follows.
Sphincter of Oddi Dysfunction
TLDR
Patients with biliary SOD who have biliary-type pain and either abnormal liver tests or a dilated common bile duct are referred for SOM and that an EST be performed if there is evidence of sphincter of Oddi stenosis.
Sphincter of Oddi dysfunction. Case history
TLDR
The authors provide modern approaches to the diagnosis and treatment of sphincter of Oddi dysfunction based on Rome IV Criteria (2016), and presents the algorithms for the examination and treatment depending on the severity level of the disease and objective findings of laboratory and instrumental tests.
Dyskinesia of the Gallbladder
TLDR
Gallbladder dyskinesia can be considered in patients with biliary pain after excluding organic causes of pain, such as gallstones or other structural abnormalities, but treatment recommendations are still controversial, due to the lack of support from large, well-designed, prospective studies.
Sphincter of Oddi dysfunction in the post-cholecystectomy period
The persistent post-cholecystectomy (CE) symptoms can be divided into four groups: 1) surgical errors; 2) recurrence of cholelithiasis; 3) functional disorders due to removal of the gallbladder
Management of Sphincter of Oddi Dysfunction: Teaching an Old SOD New Tricks?
TLDR
Surgical or endoscopic disruption of the biliary SO was a logical next step to treat SOD as it has been implicated as a potential cause of post-cholecystectomy syndrome and as an etiology for idiopathic recurrent pancreatitis and biliary-like pain in patients with an intact gallbladder without cholelithiasis.
Functional Pancreatic Sphincter Dysfunction in Children: Recommendations for Diagnosis and Management.
OBJECTIVE Functional pancreatic sphincter dysfunction (FPSD), previously characterized as pancreatic sphincter of Oddi dysfunction, is a rarely described cause of pancreatitis. Most studies are
Clinical features and management of painless biliary type sphincter of Oddi dysfunction
TLDR
Painless SOD is a specific subtype of biliary SOD that causes recurring liver dysfunction or acute cholestasis without biliary pain and endoscopic sphincterotomy was effective in the present study, but the relapse rate was as high as that in typical SOD.
Overview of Diseases of the Gallbladder
TLDR
In the chapters of this book, up-to-date information on all aspects of diseases of the gallbladder will be described.
Biliary motility and sphincter of Oddi disorders
TLDR
Motility disorders of biliary system include gall bladder dyskinesia and sphincter of Oddi dysfunction (SOD), which are considered as high risk procedures for pancreatitis and careful selection of patients is paramount.
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References

SHOWING 1-10 OF 101 REFERENCES
Gallbladder Dysfunction: How Much Longer Will It Be Controversial?
TLDR
There is controversy in the literature in particular regarding the criteria that should be used to select patients for cholecystectomy (CCY) in cases of suspected GBD, and there is a clear need for large, well-designed, more definitive, prospective studies to better identify the indications for and efficacy of CCY in Cases of GBD.
Sphincter of Oddi dysfunction in patients with intact gallbladder: therapeutic response to endoscopic sphincterotomy.
TLDR
The combination of endoscopic sphincterotomy and selective cholecystectomy and minimal medical treatment resulted in a good and excellent response rate of 68%.
Functional gallbladder and sphincter of oddi disorders.
TLDR
The committee recommends that division of the biliary or pancreatic sphincters only be considered when the patient has severe symptoms, meets the required criteria, and other diagnoses are excluded.
Cholecystectomy for Biliary Dyskinesia: How Did We Get There?
TLDR
Functional gallbladder testing should not be seen as an indicator of relevant biliary tract disease or prognostic marker to identify patients who may benefit from operative intervention and should be considered as a part of a spectrum of functional disorders, which are generally managed conservatively.
Role of endoscopic evaluation in idiopathic pancreatitis: a systematic review.
TLDR
An EUS-based strategy may be a reasonable approach to evaluate patients with a single idiopathic attack and ERCP and sphincter of Oddi manometry should generally be reserved for patients with multiple unexplained attacks and negative EUS results.
Postcholecystectomy pain syndrome: pathophysiology of abdominal pain in sphincter of Oddi type III.
TLDR
This study tested the hypothesis that duodenal-specific visceral afferent sensitivity exists in patients with SOD type III, and found that abdominal pain in these patients may not originate exclusively from the biliary tree.
Sphincter of Oddi stenosis: diagnosis using hepatobiliary scintigraphy and endoscopic manometry.
TLDR
Hepatobiliary imaging appears useful for diagnosis of sphincter of Oddi stenosis in selected patients in whom manometry cannot be performed and for objective assessment of response to therapy.
Gallbladder ejection fraction and its relationship to sphincter of Oddi dysfunction
TLDR
In conclusion, abnormalities of quantitative cholescintigraphy and sphincter manometry appear to be independent factors, although frequent findings in this patient population.
Cholescintigraphic detection of functional obstruction of the sphincter of Oddi. Effect of papillotomy.
TLDR
Functional obstruction at the sphincter of Oddi exists, is not due to any paradoxical response to cholecystokinin, and in the absence of overt cholestasis, can be detected by quantitative cholescintigraphy.
Biliary sphincter of Oddi dysfunction: response rates after ERCP and sphincterotomy in a 5-year ERCP series and proposal for new practical guidelines
TLDR
The findings are similar to other studies documenting response rates to ES in manometry proven SOD, and simpler guidelines are more applicable to clinical practice.
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