Papillary stenosis

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.

See also

References
  1. Patel RS, Johlin FC, Murray JA (1999). "Celiac disease and recurrent pancreatitis". Gastrointest. Endosc. 50 (6): 823–827. doi:10.1016/S0016-5107(99)70166-5. PMID 10570344.
  2. Löhr JM (2007). "What are the useful biological and functional markers of early-stage chronic pancreatitis?". J. Gastroenterol. 42. Suppl 17 (S17): 66–71. doi:10.1007/s00535-006-1932-9. PMID 17238031.
  3. Koch H, Classen M, Schaffner O, Demling L (1975). "Endoscopic papillotomy. Experimental studies and initial clinical experience". Scand. J. Gastroenterol. 10 (4): 441–4. doi:10.3109/00365528708996456. PMID 1153938.
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