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Dr Basu
Dr Basu, Experienced Specialist
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Experience:  MD
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Sphincter of Oddi, what is it and how bad is it if there is

Customer Question

Sphincter of Oddi, what is it and how bad is it if there is no gallbladder after RNY?
Submitted: 8 months ago.
Category: Medical
Expert:  Dr Basu replied 8 months ago.

Hi there,
This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.

Sphincter of Oddi dysfunction can precipitate postcholecystectomy syndrome.
There is a possibility of a growth or obstruction at the opening of the sphincter of Oddi--this is where the pancreatic duct opens into the duodenum.
Sometimes bile stone can cause this blockage.
Also excess bile acid circulation through the intestine in the absence of gallbladder can precipitate similar symptoms.
To check the sphincter of Oddi dysfunction or biliary dyskinesia you will need a test specialized to look inside the duct.
MRCP is one such good test --a noninvasive test by MRI but specially focused to check the pancreatic duct and sphincter od Oddi.
Sphincter of Oddi manometry is another good option.
ERCP is another test which is invasive that can be considered as well.
Best wishes,
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