Biliary dyskinesia diagnostic criteria: Difference between revisions

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== Overview ==
== Overview ==
The Rome IV [[Diagnosis|diagnostic]] criteria should be considered in patients with biliary pain and suspected [[motility]] disorders (functional [[gallbladder]] disorder and functional biliary [[sphincter of Oddi]] disorder).


== Diagnostic Criteria ==
== Diagnostic Criteria ==
The Rome IV [[Diagnosis|diagnostic]] criteria should be considered in patients with biliary pain and suspected [[motility]] disorders (functional [[gallbladder]] disorder and functional biliary [[sphincter of Oddi]] disorder):<ref name="pmid27144629">{{cite journal| author=Cotton PB, Elta GH, Carter CR, Pasricha PJ, Corazziari ES| title=Rome IV. Gallbladder and Sphincter of Oddi Disorders. | journal=Gastroenterology | year= 2016 | volume=  | issue=  | pages=  | pmid=27144629 | doi=10.1053/j.gastro.2016.02.033 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27144629  }} </ref>


{| style="border: 0px; font-size: 90%; margin: 3px;" align="center"
|+
! colspan="2" style="background: #4479BA; text-align: center;" | {{fontcolor|#000|'''Rome IV Diagnostic Criteria for Biliary Pain
(Content from ''Cotton PB, Elta GH, Carter CR, et al. Gallbladder and sphincter of Oddi disorders. Gastroenterology 2016)''<ref name="pmid27144629">{{cite journal| author=Cotton PB, Elta GH, Carter CR, Pasricha PJ, Corazziari ES| title=Rome IV. Gallbladder and Sphincter of Oddi Disorders. | journal=Gastroenterology | year= 2016 | volume=  | issue=  | pages=  | pmid=27144629 | doi=10.1053/j.gastro.2016.02.033 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27144629  }} </ref> '''}}
|-
|style="padding: 5px 5px; background: #4479BA;" align="center"  |'''Diagnostic Criteria'''
|style="padding: 5px 5px; background: #4479BA;" align="center"  |'''Supportive criteria'''
|-
|style="padding: 5px 5px; background: #DCDCDC;|Pain located in the [[epigastrium]] and/or [[Right upper quadrant|right upper quadrant (RUQ)]] and all of the following:
* Builds up to a steady level and lasting 30 minutes or longer
* Occurring at different intervals (not daily)
* Severe enough to interrupt daily activities or lead to a visit to an [[emergency department]]
* Not significantly (<20%) related to [[Intestine|bowel]] movements
* Not significantly (<20%) relieved by postural change or acid suppression  
|style="padding: 5px 5px; background: #DCDCDC;|May be associated with:
*[[Nausea and vomiting]]
* Radiation to the back and/or right infrasubscapular
*Waking the patient from sleep  
|}
{|  style="border: 0px; font-size: 90%; margin: 3px;" align="center"
|+
! colspan="2" style="background: #4479BA; text-align: center;" | {{fontcolor|#000|'''Rome IV Diagnostic Criteria for Functional Gallbladder Disorder and Functional Biliary Sphincter of Oddi Disorder
(Content from ''Cotton PB, Elta GH, Carter CR, et al. Gallbladder and sphincter of Oddi disorders. Gastroenterology 2016)''<ref name="pmid27144629">{{cite journal| author=Cotton PB, Elta GH, Carter CR, Pasricha PJ, Corazziari ES| title=Rome IV. Gallbladder and Sphincter of Oddi Disorders. | journal=Gastroenterology | year= 2016 | volume=  | issue=  | pages=  | pmid=27144629 | doi=10.1053/j.gastro.2016.02.033 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27144629  }} </ref> '''}}
|-
|style="padding: 5px 5px; background: #4479BA;" align="center"  |'''Functional Gallbladder Disorder'''  '''(FGD)'''
|style="padding: 5px 5px; background: #4479BA;" align="center"  |'''Functional Biliary Sphincter of Oddi Disorder (SOD)'''  
|-
|style="padding: 5px 5px; background: #DCDCDC;|'''Diagnostic Criteria'''
* Criteria for biliary pain
* Absence of [[Gallstone disease|gallstones disease]] or other structural [[pathology]]  
'''Supportive criteria'''  
* Low ejection fraction on [[gallbladder]] [[Nuclear medicine|scintigraphy]]
* Normal [[Liver function tests|liver enzymes]], conjugated [[bilirubin]], and [[amylase]]/[[lipase]]
|style="padding: 5px 5px; background: #DCDCDC;|'''Diagnostic Criteria'''
* Criteria for biliary pain
* Elevated [[Liver function tests|liver enzymes]] or dilated [[bile duct]], but not both
* Absence of [[bile duct]] stones or other structural abnormalities  
'''Supportive criteria'''
* Normal [[amylase]]/[[lipase]]
* Abnormal [[sphincter of Oddi]] manometry
* [[HIDA scan]] 
|}


==References==
==References==
{{reflist|2}}
{{reflist|2}}


[[Category:Needs content]]
[[Category:Needs content]]

Latest revision as of 13:59, 15 August 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shakiba Hassanzadeh, MD[2]

Overview

The Rome IV diagnostic criteria should be considered in patients with biliary pain and suspected motility disorders (functional gallbladder disorder and functional biliary sphincter of Oddi disorder).

Diagnostic Criteria

The Rome IV diagnostic criteria should be considered in patients with biliary pain and suspected motility disorders (functional gallbladder disorder and functional biliary sphincter of Oddi disorder):[1]

Rome IV Diagnostic Criteria for Biliary Pain

(Content from Cotton PB, Elta GH, Carter CR, et al. Gallbladder and sphincter of Oddi disorders. Gastroenterology 2016)[1]

Diagnostic Criteria Supportive criteria
Pain located in the epigastrium and/or right upper quadrant (RUQ) and all of the following:
  • Builds up to a steady level and lasting 30 minutes or longer
  • Occurring at different intervals (not daily)
  • Severe enough to interrupt daily activities or lead to a visit to an emergency department
  • Not significantly (<20%) related to bowel movements
  • Not significantly (<20%) relieved by postural change or acid suppression  
 May be associated with:
  • Nausea and vomiting
  • Radiation to the back and/or right infrasubscapular
  • Waking the patient from sleep  
Rome IV Diagnostic Criteria for Functional Gallbladder Disorder and Functional Biliary Sphincter of Oddi Disorder

(Content from Cotton PB, Elta GH, Carter CR, et al. Gallbladder and sphincter of Oddi disorders. Gastroenterology 2016)[1]

Functional Gallbladder Disorder  (FGD) Functional Biliary Sphincter of Oddi Disorder (SOD)  
Diagnostic Criteria

Supportive criteria  

Diagnostic Criteria

Supportive criteria

References

  1. ↑ 1.0 1.1 1.2 Cotton PB, Elta GH, Carter CR, Pasricha PJ, Corazziari ES (2016). "Rome IV. Gallbladder and Sphincter of Oddi Disorders". Gastroenterology. doi:10.1053/j.gastro.2016.02.033. PMID 27144629.
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