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Sphincter of Oddi dysfunction in children

Moises Guelrud1, Leonel Rodriguez

  • 1Advanced Endoscopic Therapy, Tufts-New England Medical Center, Tufts University Medical School, Boston, MA 02111, USA. mguelrud@tufts-nemc.org

Current Gastroenterology Reports
|March 15, 2006
PubMed

Insights

Sphincter of Oddi dysfunction (SOD) is a rare motility disorder in children, often linked to pancreatitis. Endoscopic dual sphincterotomy is used, but its pediatric safety and effectiveness require more research.

Area of Science:

  • Pediatric Gastroenterology
  • Gastrointestinal Motility Disorders

Background:

  • Sphincter of Oddi dysfunction (SOD) is a rare condition affecting biliary and pancreatic sphincter motility.
  • It is infrequently reported in children, primarily associated with idiopathic recurrent pancreatitis.
  • Current treatment involves endoscopic dual sphincterotomy, but pediatric data is limited.

Purpose of the Study:

  • To review the current understanding of Sphincter of Oddi dysfunction in the pediatric population.
  • To highlight the treatment modalities and the need for further investigation into their safety and efficacy in children.

Main Methods:

  • Literature review of pediatric cases with Sphincter of Oddi dysfunction.
  • Analysis of treatment outcomes for endoscopic dual sphincterotomy in children.

Main Results:

  • SOD in children is predominantly seen in those with idiopathic recurrent pancreatitis.
  • Endoscopic dual sphincterotomy is the primary therapeutic approach.
  • Limited data exists on the long-term safety and efficacy of these procedures in pediatric patients.

Conclusions:

  • Sphincter of Oddi dysfunction is a rare but significant condition in pediatric patients, particularly those with recurrent pancreatitis.
  • Further research is crucial to establish the safety and efficacy of manometry and sphincterotomy in children.

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