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.
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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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