c 2016 The Korean Society of Neurogastroenterology and Motility J Neurogastroenterol Motil, Vol. 22 No. 3 July, 2016 www.jnmjournal.org TO THE EDITOR: I was interested to read the paper by Suarez AL and colleagues published in the Mar 2016 issue of Journal of Neurogastroenterology and Motility. They aimed to evaluate the reproducibility of sphincter of Oddi manometry. The authors used 214 subje...

Background: Sphincter of Oddi dysfunction is diagnosed at manometry and, after cholecystectomy, non-invasively at quantitative choledochoscintigraphy. Patients may benefit from endoscopic sphincterotomy. Aims: The aim of this study was to assess the usefulness of choledochoscintigraphy compared with manometry in predicting outcome of sphincterotomy in post cholecystectomy patients with sphincte...

Objective The aim is to compare complications and long-term outcome of two treatment modalities chronic anal fissure: chemical sphincterotomy by glyceryl trinitrate (GTN) cream lateral internal sphincterotomy. Background Treatment fissure achieved the reduction in tone sphincter either chemically or surgically. Patients methods In period from November 2013 October 2015, all patients who were ad...

BACKGROUND Blunt injuries to the gallbladder occur rarely, and the incidence of isolated damage to the gallbladder is even smaller. We report a case of delayed presentation of isolated rupture of the gallbladder following blunt trauma to the abdomen. CASE PRESENTATION A 65 year old lady presented through the Emergency Department with a 1 week history of blunt trauma to her abdomen. She compla...

Fifty one patients (median age 78, range 54-92) who had endoscopic sphincterotomy for gall stone pancreatitis without planned cholecystectomy were followed up to assess the effectiveness of this treatment in preventing further acute pancreatitis. In 48 patients sphincterotomy was technically successful and none had further acute pancreatitis after a mean follow up of 26.9 months. In three patie...

BACKGROUND Sphincter of Oddi dysfunction is diagnosed at manometry and, after cholecystectomy, non-invasively at quantitative choledochoscintigraphy. Patients may benefit from endoscopic sphincterotomy. AIMS The aim of this study was to assess the usefulness of choledochoscintigraphy compared with manometry in predicting outcome of sphincterotomy in post cholecystectomy patients with sphincte...

The gold standard surgical treatment of chronic anal fissure is lateral internal sphincterotomy which lowers the resting anal pressure and effectively heals the majority of fissures. Local application of 0.2% glyceryl trinitrate ointment has been used as an agent for chemical sphincterotomy, causing temporary alleviation of sphincter spasm and allowing the fissure to heal without compromising t...

Th e Rome III revision of the Milwaukee Biliary Group classifi cation has long been utilized to diagnose, classify and drive intervention in patients with suspected sphincter of Oddi dysfunction (SOD). SOD Type III is defi ned as recurrent biliary-type pain in the absence of elevated liver enzymes and/or imaging abnormalities (common bile duct <8 mm) [1]. While patients with SOD Type II are mor...