Multivariate predictors of unfavorable long-term outcomes were young age, daily opioid use, normal pancreatic manometry, and delayed gastric emptying.
Sphincter of Oddi dysfunction (SOD) is a syndrome in which functional or structural abnormalities of the sphincter manifest as recurrent abdominal pain, with or without associated biliary and pancreatic enzyme abnormalities, duct dilation, or clinical pancreatitis. A few experts still dismiss SOD as nonexistent, whereas others debate methods of diagnosis, treatment options, and predictors of outcomes. Researchers in Minnesota assessed the long-term outcomes of endoscopic therapy (biliary and pancreatic sphincterotomy) for SOD and the clinical and objective features that predict response.
Suspected SOD was defined as structural or functional abnormalities of the SO, independent of manometric findings, that prompted endoscopic sphincterotomy (…