DC Field | Value | Language |
dc.contributor.author | Balan, Irina | - |
dc.date.accessioned | 2022-01-28T08:47:25Z | - |
dc.date.available | 2022-01-28T08:47:25Z | - |
dc.date.issued | 2012 | - |
dc.identifier.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. | en_US |
dc.identifier.uri | http://repository.usmf.md/handle/20.500.12710/19750 | - |
dc.description.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. | en_US |
dc.language.iso | en | en_US |
dc.publisher | State Medical and Pharmaceutical University Nicolae Testemitanu, Medical Students and Residents Association, Scientific Association of Students and Young Doctors | en_US |
dc.relation.ispartof | MedEspera: The 4th International Medical Congress for Students and Young Doctors, May 17-19, 2012, Chisinau, Republic of Moldova | en_US |
dc.subject | postcholecystectomy syndrome | en_US |
dc.subject | sphincter of Oddi dysfunction | en_US |
dc.subject | scintigraphic score | en_US |
dc.title | Clinical and scintigraphic assessment of the sphincter of Oddi dysfunction in the patients with postcholecystomy syndrome | en_US |
dc.type | Other | en_US |
Appears in Collections: | MedEspera 2012
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