Abstract
Chronic right upper quadrant (RUQ) pain affects 5% of patients following Cholecystectomy. A significant percentage of these patients will have Sphincter of Oddi dysfunction (SOD) following extensive studies. Similarly, patients with acute idiopathic pancreatitis are found to have sphincter dysfunction as an etiologic cause. Manometry of the biliary and/or pancreatic sphincter can reliably establish the diagnosis in these 2 groups of patients. A sublet of patients present with recurrent symptoms after initial response to endotherapy while others present with unresolved symptoms.
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