Can patient and pain characteristics predict manometric sphincter of Oddi dysfunction in patients with clinically suspected sphincter of Oddi dysfunction?
Background Biliopancreatic-type postcholecystectomy pain, without significant abnormalities on imaging and laboratory test results, has been categorized as “suspected” sphincter of Oddi dysfunction (SOD) type III. Clinical predictors of “manometric” SOD are important to avoid unnecessary ERCP, but a...
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| Veröffentlicht in: | Gastrointestinal endoscopy 2014-05, Vol.79 (5), p.765-772 |
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| creator | Romagnuolo, Joseph, MD, MSc(Epi) Cotton, Peter B., MD Durkalski, Valerie, PhD Pauls, Qi, MS Brawman-Mintzer, Olga, MD Drossman, Douglas A., MD Mauldin, Patrick, PhD Orrell, Kyle, MS Williams, April W., BS Fogel, Evan L., MD Tarnasky, Paul R., MD Aliperti, Giuseppe, MD Freeman, Martin L., MD Kozarek, Richard A., MD Jamidar, Priya A., MD Wilcox, C. Mel, MD Serrano, Jose, MD Elta, Grace H., MD |
| description | Background Biliopancreatic-type postcholecystectomy pain, without significant abnormalities on imaging and laboratory test results, has been categorized as “suspected” sphincter of Oddi dysfunction (SOD) type III. Clinical predictors of “manometric” SOD are important to avoid unnecessary ERCP, but are unknown. Objective To assess which clinical factors are associated with abnormal sphincter of Oddi manometry (SOM). Design Prospective, cross-sectional. Setting Tertiary. Patients A total of 214 patients with suspected SOD type III underwent ERCP and pancreatic SOM (pSOM; 85% dual SOM), at 7 U.S. centers (from August 2008 to March 2012) as part of a randomized trial. Interventions Pain and gallbladder descriptors, psychosocial/functional disorder questionnaires. Main Outcome Measurements Abnormal SOM findings. Univariate and multivariate analyses assessed associations between clinical characteristics and outcome. Results The cohort was 92% female with a mean age of 38 years. Baseline pancreatic enzymes were increased in 5%; 9% had minor liver enzyme abnormalities. Pain was in the right upper quadrant (RUQ) in 90% (48% also epigastric); 51% reported daily abdominal discomfort. Fifty-six took narcotics an average of 33 days (of the past 90 days). Less than 10% experienced depression or anxiety. Functional disorders were common. At ERCP, 64% had abnormal pSOM findings (34% both sphincters, 21% biliary normal), 36% had normal pSOM findings, and 75% had at least abnormal 1 sphincter. Demographic factors, gallbladder pathology, increased pancreatobiliary enzymes, functional disorders, and pain patterns did not predict abnormal SOM findings. Anxiety, depression, and poorer coping were more common in patients with normal SOM findings (not significant on multivariate analysis). Limitations Generalizability. Conclusions Patient and pain factors and psychological comorbidity do not predict SOM results at ERCP in suspected type III SOD. (Clinical Trial registration number: NCT00688662 .) |
| doi_str_mv | 10.1016/j.gie.2013.11.037 |
| format | Article |
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Mel, MD ; Serrano, Jose, MD ; Elta, Grace H., MD</creator><creatorcontrib>Romagnuolo, Joseph, MD, MSc(Epi) ; Cotton, Peter B., MD ; Durkalski, Valerie, PhD ; Pauls, Qi, MS ; Brawman-Mintzer, Olga, MD ; Drossman, Douglas A., MD ; Mauldin, Patrick, PhD ; Orrell, Kyle, MS ; Williams, April W., BS ; Fogel, Evan L., MD ; Tarnasky, Paul R., MD ; Aliperti, Giuseppe, MD ; Freeman, Martin L., MD ; Kozarek, Richard A., MD ; Jamidar, Priya A., MD ; Wilcox, C. Mel, MD ; Serrano, Jose, MD ; Elta, Grace H., MD</creatorcontrib><description>Background Biliopancreatic-type postcholecystectomy pain, without significant abnormalities on imaging and laboratory test results, has been categorized as “suspected” sphincter of Oddi dysfunction (SOD) type III. Clinical predictors of “manometric” SOD are important to avoid unnecessary ERCP, but are unknown. Objective To assess which clinical factors are associated with abnormal sphincter of Oddi manometry (SOM). Design Prospective, cross-sectional. Setting Tertiary. Patients A total of 214 patients with suspected SOD type III underwent ERCP and pancreatic SOM (pSOM; 85% dual SOM), at 7 U.S. centers (from August 2008 to March 2012) as part of a randomized trial. Interventions Pain and gallbladder descriptors, psychosocial/functional disorder questionnaires. Main Outcome Measurements Abnormal SOM findings. Univariate and multivariate analyses assessed associations between clinical characteristics and outcome. Results The cohort was 92% female with a mean age of 38 years. Baseline pancreatic enzymes were increased in 5%; 9% had minor liver enzyme abnormalities. Pain was in the right upper quadrant (RUQ) in 90% (48% also epigastric); 51% reported daily abdominal discomfort. Fifty-six took narcotics an average of 33 days (of the past 90 days). Less than 10% experienced depression or anxiety. Functional disorders were common. At ERCP, 64% had abnormal pSOM findings (34% both sphincters, 21% biliary normal), 36% had normal pSOM findings, and 75% had at least abnormal 1 sphincter. Demographic factors, gallbladder pathology, increased pancreatobiliary enzymes, functional disorders, and pain patterns did not predict abnormal SOM findings. Anxiety, depression, and poorer coping were more common in patients with normal SOM findings (not significant on multivariate analysis). Limitations Generalizability. Conclusions Patient and pain factors and psychological comorbidity do not predict SOM results at ERCP in suspected type III SOD. (Clinical Trial registration number: NCT00688662 .)</description><identifier>ISSN: 0016-5107</identifier><identifier>EISSN: 1097-6779</identifier><identifier>DOI: 10.1016/j.gie.2013.11.037</identifier><identifier>PMID: 24472759</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Abdominal Pain - etiology ; Adult ; Analgesics, Opioid - therapeutic use ; Anxiety - psychology ; Cholangiopancreatography, Endoscopic Retrograde ; Cholecystectomy ; Cross-Sectional Studies ; Depression - psychology ; Female ; Gastroenterology and Hepatology ; Humans ; Male ; Manometry ; Middle Aged ; Postoperative Period ; Predictive Value of Tests ; Prospective Studies ; Psychiatric Status Rating Scales ; Sphincter of Oddi Dysfunction - diagnosis ; Sphincter of Oddi Dysfunction - physiopathology ; Sphincter of Oddi Dysfunction - psychology</subject><ispartof>Gastrointestinal endoscopy, 2014-05, Vol.79 (5), p.765-772</ispartof><rights>American Society for Gastrointestinal Endoscopy</rights><rights>2014 American Society for Gastrointestinal Endoscopy</rights><rights>Copyright © 2014 American Society for Gastrointestinal Endoscopy. Published by Mosby, Inc. All rights reserved.</rights><rights>Copyright © 2014 by the American Society for Gastrointestinal Endoscopy 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c506t-a2ea4479dc2963bf1c1d5b772d7fa3895d30a506425ac34f3fc0704bccaf72b33</citedby><cites>FETCH-LOGICAL-c506t-a2ea4479dc2963bf1c1d5b772d7fa3895d30a506425ac34f3fc0704bccaf72b33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.gie.2013.11.037$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24472759$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Romagnuolo, Joseph, MD, MSc(Epi)</creatorcontrib><creatorcontrib>Cotton, Peter B., MD</creatorcontrib><creatorcontrib>Durkalski, Valerie, PhD</creatorcontrib><creatorcontrib>Pauls, Qi, MS</creatorcontrib><creatorcontrib>Brawman-Mintzer, Olga, MD</creatorcontrib><creatorcontrib>Drossman, Douglas A., MD</creatorcontrib><creatorcontrib>Mauldin, Patrick, PhD</creatorcontrib><creatorcontrib>Orrell, Kyle, MS</creatorcontrib><creatorcontrib>Williams, April W., BS</creatorcontrib><creatorcontrib>Fogel, Evan L., MD</creatorcontrib><creatorcontrib>Tarnasky, Paul R., MD</creatorcontrib><creatorcontrib>Aliperti, Giuseppe, MD</creatorcontrib><creatorcontrib>Freeman, Martin L., MD</creatorcontrib><creatorcontrib>Kozarek, Richard A., MD</creatorcontrib><creatorcontrib>Jamidar, Priya A., MD</creatorcontrib><creatorcontrib>Wilcox, C. Mel, MD</creatorcontrib><creatorcontrib>Serrano, Jose, MD</creatorcontrib><creatorcontrib>Elta, Grace H., MD</creatorcontrib><title>Can patient and pain characteristics predict manometric sphincter of Oddi dysfunction in patients with clinically suspected sphincter of Oddi dysfunction?</title><title>Gastrointestinal endoscopy</title><addtitle>Gastrointest Endosc</addtitle><description>Background Biliopancreatic-type postcholecystectomy pain, without significant abnormalities on imaging and laboratory test results, has been categorized as “suspected” sphincter of Oddi dysfunction (SOD) type III. Clinical predictors of “manometric” SOD are important to avoid unnecessary ERCP, but are unknown. Objective To assess which clinical factors are associated with abnormal sphincter of Oddi manometry (SOM). Design Prospective, cross-sectional. Setting Tertiary. Patients A total of 214 patients with suspected SOD type III underwent ERCP and pancreatic SOM (pSOM; 85% dual SOM), at 7 U.S. centers (from August 2008 to March 2012) as part of a randomized trial. Interventions Pain and gallbladder descriptors, psychosocial/functional disorder questionnaires. Main Outcome Measurements Abnormal SOM findings. Univariate and multivariate analyses assessed associations between clinical characteristics and outcome. Results The cohort was 92% female with a mean age of 38 years. Baseline pancreatic enzymes were increased in 5%; 9% had minor liver enzyme abnormalities. Pain was in the right upper quadrant (RUQ) in 90% (48% also epigastric); 51% reported daily abdominal discomfort. Fifty-six took narcotics an average of 33 days (of the past 90 days). Less than 10% experienced depression or anxiety. Functional disorders were common. At ERCP, 64% had abnormal pSOM findings (34% both sphincters, 21% biliary normal), 36% had normal pSOM findings, and 75% had at least abnormal 1 sphincter. Demographic factors, gallbladder pathology, increased pancreatobiliary enzymes, functional disorders, and pain patterns did not predict abnormal SOM findings. Anxiety, depression, and poorer coping were more common in patients with normal SOM findings (not significant on multivariate analysis). Limitations Generalizability. Conclusions Patient and pain factors and psychological comorbidity do not predict SOM results at ERCP in suspected type III SOD. (Clinical Trial registration number: NCT00688662 .)</description><subject>Abdominal Pain - etiology</subject><subject>Adult</subject><subject>Analgesics, Opioid - therapeutic use</subject><subject>Anxiety - psychology</subject><subject>Cholangiopancreatography, Endoscopic Retrograde</subject><subject>Cholecystectomy</subject><subject>Cross-Sectional Studies</subject><subject>Depression - psychology</subject><subject>Female</subject><subject>Gastroenterology and Hepatology</subject><subject>Humans</subject><subject>Male</subject><subject>Manometry</subject><subject>Middle Aged</subject><subject>Postoperative Period</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Psychiatric Status Rating Scales</subject><subject>Sphincter of Oddi Dysfunction - diagnosis</subject><subject>Sphincter of Oddi Dysfunction - physiopathology</subject><subject>Sphincter of Oddi Dysfunction - psychology</subject><issn>0016-5107</issn><issn>1097-6779</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UsFu1DAUtBCILoUP4IJ85JLgZyfxRkhFaEUBqVIPwNlybKf7lqwd7KRof4WvraNtV8ChvtiyZ-Y9zzxCXgMrgUHzblfeoCs5A1EClEzIJ2QFrJVFI2X7lKxYBhU1MHlGXqS0Y4ytuYDn5IxXleSyblfkz0Z7OuoJnZ-o9jaf0VOz1VGbyUVME5pEx-gsmonutQ97N0U0NI1b9AuEhp5eW4vUHlI_5ysMnuJJNNHfOG2pGdCj0cNwoGlOo8tM-7jGh5fkWa-H5F7d7-fkx-Wn75svxdX156-bj1eFqVkzFZo7nb_TWsPbRnQ9GLB1JyW3stdi3dZWMJ2RFa-1EVUvesMkqzpjdC95J8Q5uTjqjnO3d9bkpqMe1Bhxr-NBBY3q3xePW3UTblVVsbZZQxZ4ey8Qw6_ZpUntMRk3DNq7MCcFNdRNJau6yVA4Qk0MKUXXn8oAU0umaqdypmrJVAGonGnmvPm7vxPjIcQMeH8EuOzSLbqoksnWm5xZzEYrG_BR-Yv_2A9Z_XQHl3Zhjj7br0Alrpj6tgzVMlMgGG9EXneUV8xZ</recordid><startdate>20140501</startdate><enddate>20140501</enddate><creator>Romagnuolo, Joseph, MD, MSc(Epi)</creator><creator>Cotton, Peter B., MD</creator><creator>Durkalski, Valerie, PhD</creator><creator>Pauls, Qi, MS</creator><creator>Brawman-Mintzer, Olga, MD</creator><creator>Drossman, Douglas A., MD</creator><creator>Mauldin, Patrick, PhD</creator><creator>Orrell, Kyle, MS</creator><creator>Williams, April W., BS</creator><creator>Fogel, Evan L., MD</creator><creator>Tarnasky, Paul R., MD</creator><creator>Aliperti, Giuseppe, MD</creator><creator>Freeman, Martin L., MD</creator><creator>Kozarek, Richard A., MD</creator><creator>Jamidar, Priya A., MD</creator><creator>Wilcox, C. Mel, MD</creator><creator>Serrano, Jose, MD</creator><creator>Elta, Grace H., MD</creator><general>Mosby, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140501</creationdate><title>Can patient and pain characteristics predict manometric sphincter of Oddi dysfunction in patients with clinically suspected sphincter of Oddi dysfunction?</title><author>Romagnuolo, Joseph, MD, MSc(Epi) ; Cotton, Peter B., MD ; Durkalski, Valerie, PhD ; Pauls, Qi, MS ; Brawman-Mintzer, Olga, MD ; Drossman, Douglas A., MD ; Mauldin, Patrick, PhD ; Orrell, Kyle, MS ; Williams, April W., BS ; Fogel, Evan L., MD ; Tarnasky, Paul R., MD ; Aliperti, Giuseppe, MD ; Freeman, Martin L., MD ; Kozarek, Richard A., MD ; Jamidar, Priya A., MD ; Wilcox, C. Mel, MD ; Serrano, Jose, MD ; Elta, Grace H., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c506t-a2ea4479dc2963bf1c1d5b772d7fa3895d30a506425ac34f3fc0704bccaf72b33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Abdominal Pain - etiology</topic><topic>Adult</topic><topic>Analgesics, Opioid - therapeutic use</topic><topic>Anxiety - psychology</topic><topic>Cholangiopancreatography, Endoscopic Retrograde</topic><topic>Cholecystectomy</topic><topic>Cross-Sectional Studies</topic><topic>Depression - psychology</topic><topic>Female</topic><topic>Gastroenterology and Hepatology</topic><topic>Humans</topic><topic>Male</topic><topic>Manometry</topic><topic>Middle Aged</topic><topic>Postoperative Period</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Psychiatric Status Rating Scales</topic><topic>Sphincter of Oddi Dysfunction - diagnosis</topic><topic>Sphincter of Oddi Dysfunction - physiopathology</topic><topic>Sphincter of Oddi Dysfunction - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Romagnuolo, Joseph, MD, MSc(Epi)</creatorcontrib><creatorcontrib>Cotton, Peter B., MD</creatorcontrib><creatorcontrib>Durkalski, Valerie, PhD</creatorcontrib><creatorcontrib>Pauls, Qi, MS</creatorcontrib><creatorcontrib>Brawman-Mintzer, Olga, MD</creatorcontrib><creatorcontrib>Drossman, Douglas A., MD</creatorcontrib><creatorcontrib>Mauldin, Patrick, PhD</creatorcontrib><creatorcontrib>Orrell, Kyle, MS</creatorcontrib><creatorcontrib>Williams, April W., BS</creatorcontrib><creatorcontrib>Fogel, Evan L., MD</creatorcontrib><creatorcontrib>Tarnasky, Paul R., MD</creatorcontrib><creatorcontrib>Aliperti, Giuseppe, MD</creatorcontrib><creatorcontrib>Freeman, Martin L., MD</creatorcontrib><creatorcontrib>Kozarek, Richard A., MD</creatorcontrib><creatorcontrib>Jamidar, Priya A., MD</creatorcontrib><creatorcontrib>Wilcox, C. Mel, MD</creatorcontrib><creatorcontrib>Serrano, Jose, MD</creatorcontrib><creatorcontrib>Elta, Grace H., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Gastrointestinal endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Romagnuolo, Joseph, MD, MSc(Epi)</au><au>Cotton, Peter B., MD</au><au>Durkalski, Valerie, PhD</au><au>Pauls, Qi, MS</au><au>Brawman-Mintzer, Olga, MD</au><au>Drossman, Douglas A., MD</au><au>Mauldin, Patrick, PhD</au><au>Orrell, Kyle, MS</au><au>Williams, April W., BS</au><au>Fogel, Evan L., MD</au><au>Tarnasky, Paul R., MD</au><au>Aliperti, Giuseppe, MD</au><au>Freeman, Martin L., MD</au><au>Kozarek, Richard A., MD</au><au>Jamidar, Priya A., MD</au><au>Wilcox, C. Mel, MD</au><au>Serrano, Jose, MD</au><au>Elta, Grace H., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Can patient and pain characteristics predict manometric sphincter of Oddi dysfunction in patients with clinically suspected sphincter of Oddi dysfunction?</atitle><jtitle>Gastrointestinal endoscopy</jtitle><addtitle>Gastrointest Endosc</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>79</volume><issue>5</issue><spage>765</spage><epage>772</epage><pages>765-772</pages><issn>0016-5107</issn><eissn>1097-6779</eissn><abstract>Background Biliopancreatic-type postcholecystectomy pain, without significant abnormalities on imaging and laboratory test results, has been categorized as “suspected” sphincter of Oddi dysfunction (SOD) type III. Clinical predictors of “manometric” SOD are important to avoid unnecessary ERCP, but are unknown. Objective To assess which clinical factors are associated with abnormal sphincter of Oddi manometry (SOM). Design Prospective, cross-sectional. Setting Tertiary. Patients A total of 214 patients with suspected SOD type III underwent ERCP and pancreatic SOM (pSOM; 85% dual SOM), at 7 U.S. centers (from August 2008 to March 2012) as part of a randomized trial. Interventions Pain and gallbladder descriptors, psychosocial/functional disorder questionnaires. Main Outcome Measurements Abnormal SOM findings. Univariate and multivariate analyses assessed associations between clinical characteristics and outcome. Results The cohort was 92% female with a mean age of 38 years. Baseline pancreatic enzymes were increased in 5%; 9% had minor liver enzyme abnormalities. Pain was in the right upper quadrant (RUQ) in 90% (48% also epigastric); 51% reported daily abdominal discomfort. Fifty-six took narcotics an average of 33 days (of the past 90 days). Less than 10% experienced depression or anxiety. Functional disorders were common. At ERCP, 64% had abnormal pSOM findings (34% both sphincters, 21% biliary normal), 36% had normal pSOM findings, and 75% had at least abnormal 1 sphincter. Demographic factors, gallbladder pathology, increased pancreatobiliary enzymes, functional disorders, and pain patterns did not predict abnormal SOM findings. Anxiety, depression, and poorer coping were more common in patients with normal SOM findings (not significant on multivariate analysis). Limitations Generalizability. Conclusions Patient and pain factors and psychological comorbidity do not predict SOM results at ERCP in suspected type III SOD. (Clinical Trial registration number: NCT00688662 .)</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>24472759</pmid><doi>10.1016/j.gie.2013.11.037</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Gastrointestinal endoscopy, 2014-05, Vol.79 (5), p.765-772 |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Abdominal Pain - etiology Adult Analgesics, Opioid - therapeutic use Anxiety - psychology Cholangiopancreatography, Endoscopic Retrograde Cholecystectomy Cross-Sectional Studies Depression - psychology Female Gastroenterology and Hepatology Humans Male Manometry Middle Aged Postoperative Period Predictive Value of Tests Prospective Studies Psychiatric Status Rating Scales Sphincter of Oddi Dysfunction - diagnosis Sphincter of Oddi Dysfunction - physiopathology Sphincter of Oddi Dysfunction - psychology |
| title | Can patient and pain characteristics predict manometric sphincter of Oddi dysfunction in patients with clinically suspected sphincter of Oddi dysfunction? |
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