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Malisa

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GI physicians who are specialist in the field do ERCP's. In that

procedure measurements can be done to check to see how tight the

sphincter of oddi is, this is called manometry. The endoscopist

then can do what is called a sphincterotomy; which is a small

incision in the sphincter that releases some of the tightness.

Often after a sphincterotomy a stent will be placed to keep the

sphincter open until the small incision has a chance to heal. Some

of these stents will pass on their own, in a BM, and some can be

removed with another scope. A sphincteroplasty is a surgical

procedure that should only be done by a surgeon who specialized in

pancreatic surgery. I had my procedure at MUSC; I am not sure as to

what other institutions perform this but s Hopkins; Duke; USC

(calfornia) come to mind. I hope this helps and your friend gets

the care she needs.

Warmly

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