Papillary stenosis explained

Papillary stenosis is a disturbance of the sphincter of Oddi, a muscular valve, that prevents the opening and release of bile or pancreatic fluids into the duodenum in response to food entering the duodenum.

Obstruction of the valve can cause:

• pancreatic pain
• jaundice – bile leaking back into the blood stream.
• attacks of pancreatitis

Causes

• passage of stones
• scarring
• Gluten-sensitive enteropathy^[1]
• Autoimmune pancreatitis^[2]

Diagnosis and treatment

• Endoscopic examination^[3]
• Usually treated surgically, usually involving papillotomy, that is, an incision in the sphincter.^[4]

See also

• Sphincter of Oddi dysfunction

External links

• Papillary Stenosis: Sphincter of Oddi Dysfunction

Notes and References

1. Patel RS, Johlin FC, Murray JA . Celiac disease and recurrent pancreatitis . Gastrointest. Endosc. . 50 . 6 . 823–827 . 1999 . 10570344 . 10.1016/S0016-5107(99)70166-5 .
2. Löhr JM . What are the useful biological and functional markers of early-stage chronic pancreatitis? . 42 . J. Gastroenterol. . Suppl 17 . S17. 66–71 . 2007 . 17238031 . 10.1007/s00535-006-1932-9. 21031845 .
3. Koch H, Classen M, Schaffner O, Demling L . Endoscopic papillotomy. Experimental studies and initial clinical experience . Scand. J. Gastroenterol. . 10 . 4 . 441–4 . 1975 . 1153938 . 10.3109/00365528708996456 .
4. Book: Karaliotas . Constantine C. . Liver and Biliary Tract Surgery: Embryological Anatomy to 3D-Imaging and Transplant Innovations . Broelsch . Christoph E. . Habib . Nagy A. . 2008-01-09 . Springer Science & Business Media . 978-3-211-49277-2 . en.