The concept that sphincter of Oddi dysfunction (SOD) can cause attacks of biliary-type pain in postcholecystectomy patients and those with unexplained recurrent acute pancreatitis, and that endoscopic sphincterotomy can ameliorate symptoms, remains unproven. The Evaluating Predictors and Interventions in Sphincter of Oddi Dysfunction (EPISOD) study of patients without objective evidence for biliary obstruction showed no difference in outcomes between those who underwent sphincterotomy or sham treatment. 1 To date, there have been no studies examining the characteristics of patients who still are being offered endoscopic retrograde cholangiopancreatography (ERCP) for SOD since the EPISOD publication, although the absolute number appears to have declined. 2.
Bibliographical noteFunding Information:
Funding Research reported in this publication was supported by the National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health award R01DK115495 (G.A.C., L.F., and P.B.C.). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
- Functional GI Disorders
- Sphincter of Oddi Dysfunction
PubMed: MeSH publication types
- Journal Article