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Intraoperative Measurement of Common Duct Resistance

Intraoperative Measurement of Common Duct Resistance Abstract • Biliary tract resistance was measured in 142 patients at the time of cholecystectomy, using a simple technique in which contrast media is infused through the cystic duct at a fixed flow rate. A sharp demarcation exists between the resistance of patients with normal and abnormal common bile ducts. A resistance of less than 2.5 units was found in only one patient with a common duct abnormality, and the test was improperly performed in that case. Two patients with normal common ducts had resistance values of greater than 2.5 units, for a false-positive rate of 1.63%. Overall, the technique gave accurate results in 97.9% of the cases studied. (Arch Surg 113:650-653, 1978) References 1. McLaughlin CW Jr, Coe JD: Reliability of conventional indications for common bile duct exploration . Arch Surg 100:421-423, 1970.Crossref 2. Glenn F, McSherry CK, Dineen P: Morbidity of surgical treatment for nonmalignant biliary tract disease . Surg Gynecol Obstet 126:15-26, 1968. 3. Jolly PC, Baker JW, Schmidt HM, et al: Operative cholangiography: A case for its routine use . Ann Surg 168:551-565, 1968.Crossref 4. Menguy RB, Hallenbeck GA, Bollman JL, et al: Intraductal pressures and sphincteric resistance in canine pancreatic acid and biliary ducts after various stimuli . Surg Gynecol Obstet 106:306-320, 1958. 5. Salik JO, Siegel CI, Mendeloff AI: Biliary-duodenal dynamics in man . Radiology 106:1-11, 1973.Crossref 6. Glenn F: Trends in surgical treatment of calculous disease of the biliary tract . Surg Gynecol Obstet 140:877-884, 1975. 7. Haff RC, Butcher HR Jr, Ballinger WF: Factors influencing morbidity in biliary tract operations . Surg Gynecol Obstet 132:195-203, 1971. 8. Hopton D, White TT: In evaluation of manometric operative cholangiography in 100 patients with biliary disease . Surg Gynecol Obstet 133:949-954, 1971. 9. Krause H, Kerne E: Some current problems of biliary tract surgery . Surgery 62:983-987, 1967. 10. Caroli J: La radiomanometric biliare . Sem Hop Paris 21:1278-1282, 1946. 11. Caroli J, Porcher P, Pequignot G, et al: Contribution of cineradiography to study the function of human biliary tract . Am J Dig Dis 5:677-696, 1960.Crossref 12. White TT, Waisman H, Hopton D, et al: Radiomanometry, flow rates, and cholangiography in the evaluation of common bile duct disease . Am J Surg 123:73-79, 1972.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Intraoperative Measurement of Common Duct Resistance

Archives of Surgery , Volume 113 (5) – May 1, 1978

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Publisher
American Medical Association
Copyright
Copyright © 1978 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1978.01370170112024
Publisher site
See Article on Publisher Site

Abstract

Abstract • Biliary tract resistance was measured in 142 patients at the time of cholecystectomy, using a simple technique in which contrast media is infused through the cystic duct at a fixed flow rate. A sharp demarcation exists between the resistance of patients with normal and abnormal common bile ducts. A resistance of less than 2.5 units was found in only one patient with a common duct abnormality, and the test was improperly performed in that case. Two patients with normal common ducts had resistance values of greater than 2.5 units, for a false-positive rate of 1.63%. Overall, the technique gave accurate results in 97.9% of the cases studied. (Arch Surg 113:650-653, 1978) References 1. McLaughlin CW Jr, Coe JD: Reliability of conventional indications for common bile duct exploration . Arch Surg 100:421-423, 1970.Crossref 2. Glenn F, McSherry CK, Dineen P: Morbidity of surgical treatment for nonmalignant biliary tract disease . Surg Gynecol Obstet 126:15-26, 1968. 3. Jolly PC, Baker JW, Schmidt HM, et al: Operative cholangiography: A case for its routine use . Ann Surg 168:551-565, 1968.Crossref 4. Menguy RB, Hallenbeck GA, Bollman JL, et al: Intraductal pressures and sphincteric resistance in canine pancreatic acid and biliary ducts after various stimuli . Surg Gynecol Obstet 106:306-320, 1958. 5. Salik JO, Siegel CI, Mendeloff AI: Biliary-duodenal dynamics in man . Radiology 106:1-11, 1973.Crossref 6. Glenn F: Trends in surgical treatment of calculous disease of the biliary tract . Surg Gynecol Obstet 140:877-884, 1975. 7. Haff RC, Butcher HR Jr, Ballinger WF: Factors influencing morbidity in biliary tract operations . Surg Gynecol Obstet 132:195-203, 1971. 8. Hopton D, White TT: In evaluation of manometric operative cholangiography in 100 patients with biliary disease . Surg Gynecol Obstet 133:949-954, 1971. 9. Krause H, Kerne E: Some current problems of biliary tract surgery . Surgery 62:983-987, 1967. 10. Caroli J: La radiomanometric biliare . Sem Hop Paris 21:1278-1282, 1946. 11. Caroli J, Porcher P, Pequignot G, et al: Contribution of cineradiography to study the function of human biliary tract . Am J Dig Dis 5:677-696, 1960.Crossref 12. White TT, Waisman H, Hopton D, et al: Radiomanometry, flow rates, and cholangiography in the evaluation of common bile duct disease . Am J Surg 123:73-79, 1972.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: May 1, 1978

References