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Updated: Jun 19, 2026

Robotic Myotomy and Partial Fundoplication for Achalasia
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Published on: August 11, 2023

Sphincter of Oddi: Function, dysfunction, and its management.

James Toouli1

  • 1Flinders University of South Australia, Adelaide, Bedford Park SA 5042, Australia. jim.toouli@flinders.edu.au

Journal of Gastroenterology and Hepatology
|October 6, 2009
PubMed
Summary
This summary is machine-generated.

Sphincter of Oddi dysfunction, a common biliary and pancreatic disorder, causes abdominal pain and pancreatitis. Treating elevated basal pressure with sphincter division yields good long-term results.

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Last Updated: Jun 19, 2026

Robotic Myotomy and Partial Fundoplication for Achalasia
11:19

Robotic Myotomy and Partial Fundoplication for Achalasia

Published on: August 11, 2023

Area of Science:

  • Gastroenterology
  • Hepatology
  • Pancreatology

Background:

  • The Sphincter of Oddi regulates biliary and pancreatic secretions into the duodenum.
  • Dysfunction can lead to recurrent abdominal pain or pancreatitis.
  • Sphincter of Oddi dysfunction is a common functional disorder of the biliary tract and pancreas.

Purpose of the Study:

  • To summarize the clinical presentation, diagnosis, and treatment of Sphincter of Oddi dysfunction.
  • To highlight the significance of elevated basal pressure in Sphincter of Oddi dysfunction.
  • To discuss the efficacy of sphincter division for treating this condition.

Main Methods:

  • Clinical case review and analysis of diagnostic findings.
  • Manometry to assess Sphincter of Oddi motility and basal pressure.
  • Evaluation of treatment outcomes following sphincter division.

Main Results:

  • Sphincter of Oddi dysfunction presents clinically with biliary-type pain or pancreatitis.
  • Manometry can identify motility abnormalities, notably elevated basal pressure.
  • Sphincter division is an effective treatment for elevated basal pressure, showing good long-term results.

Conclusions:

  • Sphincter of Oddi dysfunction is a significant cause of biliary and pancreatic symptoms.
  • Elevated basal pressure identified by manometry is a key indicator for intervention.
  • Division of the Sphincter of Oddi offers a successful therapeutic option with favorable long-term outcomes.