Oddi 괄약근 기능 이상이 원인으로 추정되는 반복성 췌장염 1예

Recently, dysfunction of the sphincter of Oddi is suggested as the leading cause of recurrent idiopathic pancreatitis. We report a case of recurrent pancreatitis associated with dysfunction of the sphincter of Oddi, which was diagnosed by endoscopic retrograde cholangiopancreatography and manometric studies for the sphincter of Oddi. The patient was treated by endoscopic pancreatic sphincterotomy (EPST), and showed favorable manometric responses. At the two-month follow-up after EPST, the patient became asymptomatic and the levels of serum pancreatic enzymes were within normal range. (Kor J Gastroenterol 2000;36:117 - 121)