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Papillary stenosis

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.

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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

Links

Papillary Stenosis: Sphincter of Oddi Dysfunction

References

^ Patel RS, Johlin FC, Murray JA (1999). "Celiac disease and recurrent pancreatitis". Gastrointest. Endosc. 50 (6): 823-7. PMID 10570344.
^ Löhr JM (2007). "What are the useful biological and functional markers of early-stage chronic pancreatitis?". J. Gastroenterol. 42 Suppl 17: 66-71. doi:10.1007/s00535-006-1932-9. PMID 17238031.
^ Koch H, Classen M, Schaffner O, Demling L (1975). "Endoscopic papillotomy. Experimental studies and initial clinical experience". Scand. J. Gastroenterol. 10 (4): 441-4. PMID 1153938.