Structural or functional abnormality of sphincter of Oddi: an important factor for the recurrence of choledocholithiasis after endoscopic treatment
A high recurrence rate is undesirable after treatment of common bile duct (CBD) stones. A major risk factor identified for recurrence is that invasive techniques, including surgical or endoscopic treatments, will impair the biliary tract system either by direct incision of the CBD or by cutting or d...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2025-12-01
|
| Series: | Annals of Medicine |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/07853890.2024.2440119 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850256745093398528 |
|---|---|
| author | Ye Yang Zeying Zhao Shuodong Wu Dianbo Yao |
| author_facet | Ye Yang Zeying Zhao Shuodong Wu Dianbo Yao |
| author_sort | Ye Yang |
| collection | DOAJ |
| description | A high recurrence rate is undesirable after treatment of common bile duct (CBD) stones. A major risk factor identified for recurrence is that invasive techniques, including surgical or endoscopic treatments, will impair the biliary tract system either by direct incision of the CBD or by cutting or dilating the ampulla of Vater. During endoscopic treatment, two main assisted methods for lithotomy, sphincterotomy and papillary balloon dilation, can result in different degrees of damage to the structure and function of the sphincter of Oddi (SO), contributing to slowing of biliary excretion, cholestasis, biliary bacterial infection, and promotion of bile duct stone recurrence. In this review, the relationship between endoscopic lithotomy and structural impairment or functional abnormality of the SO will be summarized, and their relationship with the recurrence of CBD stones will also be analyzed. Further improvement of these endoscopic methods or exploration of some novel methods, such as endoscopic endoclip papilloplasty, temporary insertion of a self-expandable metal stent, and combined application of peroral cholangioscopy, may aid in providing more appropriate treatment for patients with choledocholithiasis, repair or protect the function and structure of SO, reduce or prevent the recurrence of bile duct stones, and improve patient outcomes. |
| format | Article |
| id | doaj-art-fe9ba43bbc2f47d2960cb1a2edcc5b35 |
| institution | OA Journals |
| issn | 0785-3890 1365-2060 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Annals of Medicine |
| spelling | doaj-art-fe9ba43bbc2f47d2960cb1a2edcc5b352025-08-20T01:56:34ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602025-12-0157110.1080/07853890.2024.2440119Structural or functional abnormality of sphincter of Oddi: an important factor for the recurrence of choledocholithiasis after endoscopic treatmentYe Yang0Zeying Zhao1Shuodong Wu2Dianbo Yao3Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, ChinaDepartment of General Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, ChinaDepartment of General Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, ChinaDepartment of General Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, ChinaA high recurrence rate is undesirable after treatment of common bile duct (CBD) stones. A major risk factor identified for recurrence is that invasive techniques, including surgical or endoscopic treatments, will impair the biliary tract system either by direct incision of the CBD or by cutting or dilating the ampulla of Vater. During endoscopic treatment, two main assisted methods for lithotomy, sphincterotomy and papillary balloon dilation, can result in different degrees of damage to the structure and function of the sphincter of Oddi (SO), contributing to slowing of biliary excretion, cholestasis, biliary bacterial infection, and promotion of bile duct stone recurrence. In this review, the relationship between endoscopic lithotomy and structural impairment or functional abnormality of the SO will be summarized, and their relationship with the recurrence of CBD stones will also be analyzed. Further improvement of these endoscopic methods or exploration of some novel methods, such as endoscopic endoclip papilloplasty, temporary insertion of a self-expandable metal stent, and combined application of peroral cholangioscopy, may aid in providing more appropriate treatment for patients with choledocholithiasis, repair or protect the function and structure of SO, reduce or prevent the recurrence of bile duct stones, and improve patient outcomes.https://www.tandfonline.com/doi/10.1080/07853890.2024.2440119Choledocholithiasisendoscopic treatmentsphincter of Oddirecurrence |
| spellingShingle | Ye Yang Zeying Zhao Shuodong Wu Dianbo Yao Structural or functional abnormality of sphincter of Oddi: an important factor for the recurrence of choledocholithiasis after endoscopic treatment Annals of Medicine Choledocholithiasis endoscopic treatment sphincter of Oddi recurrence |
| title | Structural or functional abnormality of sphincter of Oddi: an important factor for the recurrence of choledocholithiasis after endoscopic treatment |
| title_full | Structural or functional abnormality of sphincter of Oddi: an important factor for the recurrence of choledocholithiasis after endoscopic treatment |
| title_fullStr | Structural or functional abnormality of sphincter of Oddi: an important factor for the recurrence of choledocholithiasis after endoscopic treatment |
| title_full_unstemmed | Structural or functional abnormality of sphincter of Oddi: an important factor for the recurrence of choledocholithiasis after endoscopic treatment |
| title_short | Structural or functional abnormality of sphincter of Oddi: an important factor for the recurrence of choledocholithiasis after endoscopic treatment |
| title_sort | structural or functional abnormality of sphincter of oddi an important factor for the recurrence of choledocholithiasis after endoscopic treatment |
| topic | Choledocholithiasis endoscopic treatment sphincter of Oddi recurrence |
| url | https://www.tandfonline.com/doi/10.1080/07853890.2024.2440119 |
| work_keys_str_mv | AT yeyang structuralorfunctionalabnormalityofsphincterofoddianimportantfactorfortherecurrenceofcholedocholithiasisafterendoscopictreatment AT zeyingzhao structuralorfunctionalabnormalityofsphincterofoddianimportantfactorfortherecurrenceofcholedocholithiasisafterendoscopictreatment AT shuodongwu structuralorfunctionalabnormalityofsphincterofoddianimportantfactorfortherecurrenceofcholedocholithiasisafterendoscopictreatment AT dianboyao structuralorfunctionalabnormalityofsphincterofoddianimportantfactorfortherecurrenceofcholedocholithiasisafterendoscopictreatment |