Re: gall bladder(spincter of oddi)

From: Susan (zoie15@lycos.com)
Sat Jan 4 15:18:10 2003


Hi Sue!

I have had pain in the upper stomach (just under the sternum area) throught to the back and up the right shoulder blade since my cholecystectomy in 1998. Doctors have yet to diagnose my problem. I have had an ERCP done but no residual stones. My family doc thinks maybe it is sphincter of Oddi dysfunction. My understanding is that a regular ERCP will not diagnose this problem. It will have to be an ERCP with manometry to measure the sphincter pressure. So far, I have not had this particular test done because of the risk of pancreatitis and most docs are not willing to perform this test at the drop of a hat. So for now I am on Protonix and Zantac (with no results!). I go back to my GI doc on the 28th and he says that at that time he may schedule me for the ERCP with manometry. Hope this info helps. Sorry you are having to deal with pain. Susan

At Fri, 3 Jan 2003, Sue OConnor wrote: >
>Rose, I have been having severe stomach pains between my ribs that
>shoots through my back since 1992 A doctor in boston at beth isreal
>deconness hospital(excellent hospital said it was spincter of oddi and
>widened the bile duct and said it would have to be done again but I got
>prenant w/my daughter and never go it done! Then A local doctor wasn't
>convinced that it was the spincter of oddi and had some tests done and
>noticed that my gallbladder wasn't draining at a reasonable amt! So they
>took my gallbladder out which helped alot but once in a while sI still
>get the pains! I had the ercp done! Do you have any suggestions?
>
>At Sun, 5 Dec 1999, LARRY ERDMAN wrote:
>>
>>Gina,
>>When you go to your MD about your common bile duct- Ask about spincter of
>>oddi disfunction- This can cause pain like a gall bladder attack but it is
>>the spincter in spasm./ They test this with an ERCP and doing pressure
>>readings. Also the pancreatic spinter is in the same area and should be
>>considered in the work up.
>>Just a thought. I managed many years on a calcium channel blocker until I
>>finally had the spincters cut. Good luck Rose
>
>--
>Sue sahm to Marissa 12-07-98 and Joshua 10-10-2000
>


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