Gastroenterology

Rome IV Functional Biliary Sphincter of Oddi Disorder calculator

Enter the published formula inputs below to calculate and interpret this score.

Clinical inputs

Pain in the epigastrium and/or right upper quadrantBuilds to a steady level and lasts 30 minutes or longerOccurs at differing intervals and not dailySevere enough to interrupt daily activities or prompt an emergency visitLess than 20% related to bowel movementsLess than 20% relieved by posture change or acid suppressionLiver enzymes are elevatedBile duct is dilatedNo bile duct stones or other structural abnormality

Result

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Criteria not met

Band: Criteria not met

Interpretation. Criteria not met

Suggested management. One or more required criteria in the source are absent.

Rome IV Functional Biliary Sphincter of Oddi Disorder: 0 — Criteria not met. Interpretation: Criteria not met What to do: One or more required criteria in the source are absent. Inputs: Pain in the epigastrium and/or right upper quadrant: false; Builds to a steady level and lasts 30 minutes or longer: false; Occurs at differing intervals and not daily: false; Severe enough to interrupt daily activities or prompt an emergency visit: false; Less than 20% related to bowel movements: false; Less than 20% relieved by posture change or acid suppression: false; Liver enzymes are elevated: false; Bile duct is dilated: false; No bile duct stones or other structural abnormality: false Source: Cotton PB, Elta GH, Carter CR, Pasricha PJ, Corazziari ES. Gallbladder and sphincter of Oddi disorders. Gastroenterology. DOI: 10.1053/j.gastro.2016.02.033. PMID: 27144629. Functional biliary sphincter of Oddi disorder requires biliary pain, elevated liver enzymes or a dilated bile duct but not both, and absence of bile duct stones or other structural abnormalities. Normal amylase/lipase, abnormal sphincter manometry, and hepatobiliary scintigraphy are supportive and are not required. (2016)

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Clinical inputs

Pain in the epigastrium and/or right upper quadrant
Builds to a steady level and lasts 30 minutes or longer
Occurs at differing intervals and not daily
Severe enough to interrupt daily activities or prompt an emergency visit
Less than 20% related to bowel movements
Less than 20% relieved by posture change or acid suppression
Liver enzymes are elevated
Bile duct is dilated
No bile duct stones or other structural abnormality

Primary source

Cotton PB, Elta GH, Carter CR, Pasricha PJ, Corazziari ES. Gallbladder and sphincter of Oddi disorders. Gastroenterology. DOI: 10.1053/j.gastro.2016.02.033. PMID: 27144629. Functional biliary sphincter of Oddi disorder requires biliary pain, elevated liver enzymes or a dilated bile duct but not both, and absence of bile duct stones or other structural abnormalities. Normal amylase/lipase, abnormal sphincter manometry, and hepatobiliary scintigraphy are supportive and are not required. (2016)

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