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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/19750
Title: Clinical and scintigraphic assessment of the sphincter of Oddi dysfunction in the patients with postcholecystomy syndrome
Authors: Balan, Irina
Keywords: postcholecystectomy syndrome;sphincter of Oddi dysfunction;scintigraphic score
Issue Date: 2012
Publisher: State Medical and Pharmaceutical University Nicolae Testemitanu, Medical Students and Residents Association, Scientific Association of Students and Young Doctors
Citation: BALAN, Irina. Clinical and scintigraphic assessment of the sphincter of Oddi dysfunction in the patients with postcholecystomy syndrome. In: MedEspera: the 4th Internat. Medical Congress for Students and Young Doctors: abstract book. Chișinău: S. n., 2012, pp. 121-122.
Abstract: Introduction: The standard diagnostic for sphincter of Oddi dysfunction (SOD) is manometry, a tehnically difficult, invasive test that is frequently complicated by pancreatitis. Non-invasive hepatobiliary scintigraphy in cholecystectomised patients using a complex scoring system have been promoted as sensitive and specific alternatives. Sostre et a l proposed a score which combines quantitative and visual criteria for interpretation of hepatobiliary scans. Aim: Evaluation of different types of sphincter of Oddi dysfunction using the Scintigraphic Score Materials and methods: Thirteen patients with SOD were prospectivelly enrolled. Hepatobiliary scintigraphy was performed to all patients. Normal sphincter had scores 0-4 points, while patients with SOD had values of 5-12 points. Patients were divided into 2 goups depending on the scinthigraphic score appreciated <5 or >5 points. The evaluated criteria were algie and dyspeptic syndrome, biochemical and ultrasound parameters. Results: Four patients (score <5 points) caused equally (50%) pain with swelling and pressure character, evolution in accesses, located predominantly in the right upper quadrant and epigastrium with irradiation (double-duct type of SOD). In nine patients was assessed pain with pressure character, constant, located predominantly in the right upper quadrant (66.6%) with irradiation, associated with cholestatic syndrome (biliary type of SOD). Conclusions: In patients with scintigraphic score > 5 points was established the biliary of sphincter of Oddi dysfunction. Hepatobiliary scintigraphy scored may become the noninvasive test of choice to screen postcholecystectomy patients with suspected sphincter of Oddi dysfunction.
metadata.dc.relation.ispartof: MedEspera: The 4th International Medical Congress for Students and Young Doctors, May 17-19, 2012, Chisinau, Republic of Moldova
URI: http://repository.usmf.md/handle/20.500.12710/19750
Appears in Collections:MedEspera 2012



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