Sphincter of Oddi dysfunction. Case history
https://doi.org/10.21518/2079-701X-2019-3-26-33
Abstract
The article presents the definition and prevalence of sphincter of Oddi dysfunction in patients with various disorders of the biliary system. It describes the characteristics of sphincter of Oddi dysfunction with due account of its anatomical structure. Based on Rome IV Criteria (2016), the authors provide modern approaches to the diagnosis and treatment of sphincter of Oddi dysfunction. Special attention is paid to the diagnostic criteria for sphincter of Oddi dysfunction depending on its type. There are two basic types of sphincter of Oddi dysfunction: biliary dysfunction and pancreatitis. The paper presents the algorithms for the examination and treatment of patients with sphincter of Oddi dysfunction depending on the severity level of the disease and objective findings of laboratory and instrumental tests. The article presents a clinical history of a patient with sphincter of Oddi dysfunction. Depending on the characteristics of a clinical course of dysfunction, it was proposed that the patient was treated with a selective antispasmodic drug and a choleretic drug.
About the Author
T. E. Polunina
Federal State Budgetary Educational Institution of Higher Education «Moscow State University of Medicine and Dentistry named after A.I. Yevdokimov» of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Dr. of Sci. (Med.), Professor of Chair for Propaedeutics of Internal Diseases and Gastroenterology,
127473, Moscow, 20, Delegatskaya St.
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Review
For citations:
Polunina TE. Sphincter of Oddi dysfunction. Case history. Meditsinskiy sovet = Medical Council. 2019;(3):26-33. (In Russ.) https://doi.org/10.21518/2079-701X-2019-3-26-33
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