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Anatomy G.I.T 8c9dbef9

The ideal treatment of stenosis of sphincter of oddi is

A
Transduodenal sphicteroplasty
B
Endoscopic sphicteroplasty
C
Choledochojejunostomy
D
Choledochoduodenostomy
High-Yield Explanation
Sphincter of oddi dysfunction Pain similar to biliary colic with normal LFT and episodes of acute pancreatitis have been attributed to a poorly defined syndrome known as sphincter of oddi dysfunction The pathogenesis is unclear. Postulated theories include gallstone migration inducing fibrosis of the sphincter, trauma, pancreatitis and congenital anomalies Modified Milwaukee classification is used for Biliary sphincter oddi dysfunction. Treatment Treatment of choice : Transduodenal Sphinctereplasty with transampullary septectomy Ref: Sabiston 20th edition Pgno :1497

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