Seward, E.W.; Guinane, M.J.; Evans, D.F.; Ainley, C.A.
April 2003
Gut;Apr2003 Supplement 1, Vol. 52, pA49
Academic Journal
Introduction: Sphincter of Oddi dysfunction (SOD) and acalculous cholecystitis (AC) are contentious causes of biliary pain that require specialised investigative techniques. While data exist to support their diagnosis and treatment, many gastroenterologists doubt their existence. Aim: to survey the altitudes of British gastroenterologists towards these functional diagnoses. Methods: We contacted all BSG full members listed in the 2002 handbook. Results: 1225 questionnaires were sent, of which 535 (43.7%) were returned. Of these, 355 (66.4%) were medical gastroenterologists, 118 (22.1%) were surgeons, and 62 (11.6%) were "other". Respondents were asked what diagnoses they would consider in "unexplained" abdominal pain. Conclusions: Of those BSG members who returned questionnaires, the majority would consider a diagnosis of SOD in previously unexplained abdominal pain. Standard diagnostic criteria for SOD are accepted although a significant minority would not accept pain alone as a reason to consider SOD. Cholecystectomy is largely accepted for AC, particularly amongst those surgeons performing the procedure.


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