Open AccessControversial issues of gallbladder and sphincter Oddi disorders: analysis of Rome IV criteria (2016).
Author(s) -
А. А. Шептулин,
С. С. Кардашева
Publication year - 2018
Publication title -
kliničeskaâ medicina
Language(s) - English
Resource type - Journals
eISSN - 2412-1339
pISSN - 0023-2149
DOI - 10.18821/0023-2149-2018-96-1-84-87
Subject(s) - sphincter of oddi , medicine , sphincter , gallbladder , sphincter of oddi dysfunction , biliary tract , functional disorder , biliary dyskinesia , gallbladder disease , gastroenterology , radiology
Functional disorders of biliary tract published in 2016 include functional gallbladder disorders, biliary sphincter Oddi and pancreatic sphincter Oddi disorders. One of the advantages of these criteria is recognition of the diagnosis of such functional disorders as the diagnosis of exclusion, the establishment of which requires the conduction of complex laboratory and instrumental investigations to detect the possible organic diseases. The disadvantages of these new criteria include the lack of development of noninvasive instrumental methods (especially ultrasound method), complexity, inaccessibility and insecurity of recommended diagnostic methods (particularly sphincter Oddi manometry), insufficient attention to the current opportunities of medical therapy.