tokens: Patients with type III SOD may have visceral hyperalgesia ; a trial of antidepressants or a therapeutic trial with botulinum toxin injection into the ampulla should be considered prior to more invasive endoscopic therapy .
folded_tokens: patient with type iii sod may have visceral hyperalgesium ; a trial of antidepressant or a therapeutic trial with botulinum toxin injection into the ampullum should be consider prior to more invasive endoscopic therapy .