Table 1: Milwaukee classification for

sphincter of Oddi dysfunction.

 

Type I

Type II

Type III

Biliary pain

+

+

+

Altered LFTs

+

±*

Bile duct dilatation

+

±*

Delayed biliary drainage

+

±*

LFTs = liver function tests with alanine aminotransferase (ALT) and aspartate aminotransferase (AST) twice the average on two or more occasions.

Bile duct dilatation ≥ 12 mm on ultrasound or > 10 mm on cholangiography.

Delayed biliary drainage = drainage of contrast medium delayed for > 45 minutes after ERCP.

* One or two positive factors.