Don't let the title scare you. "Translational and clinical perspectives on sphincter of Oddi dysfunction," published in the July 28, 2016 edition of Clinical and Experimental Gastroenterology is essentially an overview of SOD, with similar references as those written in the recently published, "The Sphincter of Oddi Dysfunction Survival Guide."
Authors Kyanam, Baig, and Wilcox provide a good SOD primer, though completely in medical/research jargon. It contains historical, anatomy, physiology, treatment, and recent research information. The authors should be commended for writing about SOD facts rather than the trend we were witnessing a few years ago of researchers writing about their desire to throw out the diagnosis as a whole.
They conclude, "There is still much to learn regarding the sphincter of Oddi, both its function and dysfunction. One of the major limitations has been the inability to monitor the sphincter over a prolonged period of time like one can do for heart arrhythmias and esophageal acid exposure. The development of new technology to provide such monitoring would be a significant advancement. In addition, we need to learn more regarding the neurohormonal aspects of sphincter physiology." What a novel idea!
To view the entire document, go to: https://www.dovepress.com/translational-and-clinical-perspectives-on-sphincter-of-oddi-dysfuncti-peer-reviewed-article-CEG and click, "download article."
The July 26, 2016 Gastroenterology and Endoscopy News article, "Appropriate Use, Skilled Care Crucial for ERCP Safety," is essentially a Q&A interview with Drs. Rajesh N. Keswani, Gregory A. Cote, and Sachin Wani. An outbreak of antibiotic-resistant bacterial infections linked to ERCP equipment is the focus of this article.
The outbreak led to a recall of some duodenoscopes used in the procedure and a Senate report demanding improved device safety monitoring. To ensure the best and safest use of this important technique, it’s crucial for physicians to use ERCP appropriately and be certain the procedure is performed by competent providers, according to Rajesh N. Keswani, MD.
It is imperative ERCP be used only when absolutely necessary and care must be taken to ensure equipment is free of bacteria. Due to the pancreatitis-risk ERCP carries, the physicians encourage the use of endoscopic ultrasound (EUS) and MRCP with secretin for diagnosing sphincter of Oddi dysfunction. In most cases, though, these types of scans are not fool-proof in detecting SOD. ERCP is still the gold standard diagnostic tool for SOD. However, it is advised ERCP not be used for SOD Type 3 patients.
The physicians recommend ERCP procedures be conducted in centers designated as "high-quality" with highly trained staff.
For more information, go to: http://www.gastroendonews.com/In-the-News/Article/07-16/Appropriate-Use-Skilled-Care-Crucial-for-ERCP-Safety/37000.