علاج خلل حركة عاصرة أودي مع ألم صفراوي وارتفاع ناقلات الأمين وتوسع القناة الصفراوية المشتركة بالتنظير الباطني الراجع

References

DOI: 10.3390/jcm12144802

• Biliary pain and all 3 of the following:
• Serum aminotransferases: elevation of serum-aminotransferases above 2 times the upper limit on 2 or more occasions.
• CBD dilation: above 10 mm on US or above 12 mm on ERCP.
• Delayed drainage of contrast from the CBD on ERCP.
• Endoscopic sphincterotomy is the most commonly used non-pharmacologic treatment for SOD for patients with type 1 and 2 SOD.
• The management of SOD most often involves non-pharmacologic treatment, and high-level evidence supports sphincterotomy in type 1 and 2 SOD.
• Two randomized controlled trials, including a sphincterotomy group and a control group receiving sham intervention, showed that patients with abnormally elevated basal pressure showed over 90% long-term relief in symptoms related to biliary-type pain when undergoing sphincterotomy of the biliary SO.