Rome IV Diagnostic Criteria for Biliary Pain
Use in patients with symptoms characteristic of typical biliary pain as defined by Rome IV criteria.
If gallbladder present:
Supportive criteria such as low ejection fraction on gallbladder scintigraphy and normal liver transaminases, conjugated bilirubin, and amylase/lipase can aid in diagnosis of functional gallbladder disorder.
If gallbladder absent:
Supportive criteria such as normal amylase/lipase, abnormal sphincter of Oddi (SOD) manometry, or abnormal hepatobiliary scintigraphy can aid in diagnosis of sphincter of Oddi disorder.
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