Abstract
SO dysfunction (SOD) is a syndrome previously described in postcholecystectomy pts presenting w/ abd pain only (type III) w/ or w/o high LFTs & dilated CBD (Type I, Type II).Controversies still exist in biliary SOD, pancreatic SOD presents a greater diagnostic & therapeutic challenge. ancreatic sphincter hypertension of the major papilla, a variant of SOD, is a potential cause of acute recurrent (ARP), chronic pancreatitis (CP) & pancreatic-type pain.Little long-term data exists describing pancreatic SOD including presentation, ES technique & long-term outcome.Response rates of ES vary (64-91%). Experience suggests failure to respond to pancreatic ES include: 1.Inadequate pancreatic ES. 2.Recurrent pancreatic stenosis. 3.Presence of CP. AIM:Determine long-term outcome of pancreatic ES in pts w/ pancreatic SO hypertension.Determine rate of residual sphincter hypertension in pts following pancreatic ES.
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