Papillary stenosis
Papillary stenosis is a disturbance of the sphincter of Oddi, a muscular valve, that prevents the opening and release of bile or pancreatic fluids into the duodenum in response to food entering the duodenum.
Obstruction of the valve can cause:
- pancreatic pain
- jaundice – bile leaking back into the blood stream.
- attacks of pancreatitis
Causes
[edit]- passage of stones
- scarring
- Gluten-sensitive enteropathy[1]
- Autoimmune pancreatitis[2]
Diagnosis and treatment
[edit]- Endoscopic examination[3]
- Usually treated surgically, usually involving papillotomy, that is, an incision in the sphincter.[4]
See also
[edit]External links
[edit]References
[edit]- ^ Patel RS, Johlin FC, Murray JA (1999). "Celiac disease and recurrent pancreatitis". Gastrointest. Endosc. 50 (6): 823–827. doi:10.1016/S0016-5107(99)70166-5. PMID 10570344.
- ^ Löhr JM (2007). "What are the useful biological and functional markers of early-stage chronic pancreatitis?". J. Gastroenterol. 42. Suppl 17 (S17): 66–71. doi:10.1007/s00535-006-1932-9. PMID 17238031. S2CID 21031845.
- ^ Koch H, Classen M, Schaffner O, Demling L (1975). "Endoscopic papillotomy. Experimental studies and initial clinical experience". Scand. J. Gastroenterol. 10 (4): 441–4. doi:10.3109/00365528708996456. PMID 1153938.
- ^ Karaliotas, Constantine C.; Broelsch, Christoph E.; Habib, Nagy A. (2008-01-09). Liver and Biliary Tract Surgery: Embryological Anatomy to 3D-Imaging and Transplant Innovations. Springer Science & Business Media. ISBN 978-3-211-49277-2.
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