Su1548 THE IMPACT OF INCREASED BILE DUCT PRESSURE RELATED TO PAPILLARY STENOSIS AND THE ROLE OF VISCERAL HYPERSENSITIVITY IN PATIENTS WITH REFRACTORY RIGHT UPPER QUADRANT (RUQ) PAIN POST CHOLECYSTECTOMY

Functional abdominal pain is commonly related to visceral hypersensitivity (VH) and recent studies have shown success in management of such patients with Amitriptyline. A subgroup of patients with chronic RUQ pain post cholecystectomy routinely fail medical management and are referred for evaluation of Sphincter of Oddi (SOD) dysfunction/papillary stenosis. The association of RUQ pain, dilated common bile duct (CBD) and elevated liver function tests (LFT ’s) is strongly suggestive of papillary stenosis as it has been shown to benefit the most from biliary sphincterotomy.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Poster abstracts Source Type: research