Papillary stenosis

A disturbance of the sphincter of Oddi, a muscular valve, that prevents the opening and release of bile or pancreatic fluids into the duodenum in response to food entering the duodenum.

Obstruction of the valve can cause:
* pancreatic pain
* jaundice - bile leaking back into the blood stream.
* attacks of pancreatitis

Causes:
* passage of stones
* scarring
* Gluten-sensitive enteropathycite journal | author = Patel RS, Johlin FC, Murray JA | title = Celiac disease and recurrent pancreatitis | journal = Gastrointest. Endosc. | volume = 50 | issue = 6 | pages = 823–7 | year = 1999 | pmid = 10570344 | doi = ]
* Autoimmune pancreatitiscite journal | author = Löhr JM | title = What are the useful biological and functional markers of early-stage chronic pancreatitis? | journal = J. Gastroenterol. | volume = 42 Suppl 17 | issue = | pages = 66–71 | year = 2007 | pmid = 17238031 | doi = 10.1007/s00535-006-1932-9]

Diagnosis and Treatment:
* Endoscopic examinationcite journal | author = Koch H, Classen M, Schaffner O, Demling L | title = Endoscopic papillotomy. Experimental studies and initial clinical experience | journal = Scand. J. Gastroenterol. | volume = 10 | issue = 4 | pages = 441–4 | year = 1975 | pmid = 1153938 | doi = ]
* usually treated surgically

=Links= [http://www.ddc.musc.edu/ddc_pub/digestiveProbs/diseases/pancBiliary/sphincterOddi.htm Papillary Stenosis: Sphincter of Oddi Dysfunction]

=References=