| Controversies in clinical pancreatology: should the sphincter of Oddi be measured in patients with idiopathic recurrent acute pancreatitis, and should sphincterotomy be performed if the pressure is high? | |
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MedLine Citation:
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PMID: 12883258 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The risk benefit ratio of measuring the sphincter of Oddi pressure and performing sphincterotomy in patients with idiopathic acute pancreatitis with high sphincter pressures has not been assessed. Few healthy controls have had sphincter measurements so that the definition of an abnormal sphincter remains understudied. The procedures involved have significant risks and the benefits are hard to measure considering the variable natural history of this disorder. No prospective, randomized investigations have been performed to evaluate efficacy of these invasive procedures. It is the author's opinion that until appropriate studies prove efficacy that these interventions be considered experimental. |
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Authors:
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William M Steinberg |
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Publication Detail:
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Type: Comment; Journal Article |
Journal Detail:
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Title: Pancreas Volume: 27 ISSN: 1536-4828 ISO Abbreviation: Pancreas Publication Date: 2003 Aug |
Date Detail:
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Created Date: 2003-07-28 Completed Date: 2004-03-29 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8608542 Medline TA: Pancreas Country: United States |
Other Details:
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Languages: eng Pagination: 118-21 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Follow-Up Studies Humans Manometry / methods Pancreas / pathology Pancreatitis / etiology, prevention & control, therapy* Recurrence / prevention & control Risk Factors Sphincter of Oddi / physiopathology*, surgery Sphincterotomy, Endoscopic* |
| Comments/Corrections | |
Comment On:
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Pancreas. 2003 Aug;27(2):103-17
[PMID:
12883257
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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