Botulinum toxin injection as a diagnostic tool for verification of sphincter of Oddi dysfunction causing recurrent pancreatitis.

Abstract:

:Sphincter of Oddi dyskinesia (SOD) is among the less frequent causes of acute recurrent pancreatitis. We report on a patient with frequent pain attacks accompanied by pancreatic enzyme elevation, in whom a transitory decrease of the SO pressure following endoscopic botulinus toxin injection was a diagnostic clue for SOD. The patient's symptoms resolved for 4 months, after which time recurrent symptoms paralleled the reoccurrence of the elevated SO pressure. Endoscopic sphincterotomy of the biliary sphincter relieved her symptoms for the subsequent follow-up period which is now 10 months.

journal_name

Endoscopy

journal_title

Endoscopy

authors

Muehldorfer SM,Hahn EG,Ell C

doi

10.1055/s-2007-1004086

subject

Has Abstract

pub_date

1997-02-01 00:00:00

pages

120-4

issue

2

eissn

0013-726X

issn

1438-8812

journal_volume

29

pub_type

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