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Percutaneous Transhepatic Cholangiography

Percutaneous Transhepatic Cholangiography Abstract PERCUTANEOUS transhepatic cholangiography is a safe and effective method for diagnosing the cause of jaundice.3,4 A careful history, a complete physical examination, and liver function studies may not yield an exact diagnosis. Liver biopsy may be of further aid but with a certain group of patients the clinician may still be puzzled. To operate on a patient with hepatitis may be as disastrous as to deny another patient with a common duct stone early surgery. Percutaneous transhepatic cholangiography offers a new way to solve this common dilemma. It can usually establish not only the presence or absence of extrahepatic obstruction, but will generally demonstrate the site of obstruction and define the probable cause. The purpose of this paper is to describe our technique of percutaneous cholangiography, to present a series of representative roentgenograms (Fig 2-7), and to report our results. Technique The patient is premedicated and placed supine on References 1. Flemma, R.J., et al: Percutaneous Transhepatic Cholangiography in the Differential Diagnosis of Jaundice , Surg Gynec Obstet 116:559, 1963. 2. Currin, J.B., Jr., et al: Comparative Value of Liver Biopsy and Percutaneous Cholangiography in the Diagnosis of Obstructive Jaundice , Southern Med J 58:839, 1965.Crossref 3. Glenn, F., et al: Percutaneous Transhepatic Cholangiography , Ann Surg 156:451, 1962.Crossref 4. Weichel, K.L.: Percutaneous Transhepatic Cholangiography , Acta Chir Scand 330 ( (suppl) ):1, 1964. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1966 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1966.01320230020004
Publisher site
See Article on Publisher Site

Abstract

Abstract PERCUTANEOUS transhepatic cholangiography is a safe and effective method for diagnosing the cause of jaundice.3,4 A careful history, a complete physical examination, and liver function studies may not yield an exact diagnosis. Liver biopsy may be of further aid but with a certain group of patients the clinician may still be puzzled. To operate on a patient with hepatitis may be as disastrous as to deny another patient with a common duct stone early surgery. Percutaneous transhepatic cholangiography offers a new way to solve this common dilemma. It can usually establish not only the presence or absence of extrahepatic obstruction, but will generally demonstrate the site of obstruction and define the probable cause. The purpose of this paper is to describe our technique of percutaneous cholangiography, to present a series of representative roentgenograms (Fig 2-7), and to report our results. Technique The patient is premedicated and placed supine on References 1. Flemma, R.J., et al: Percutaneous Transhepatic Cholangiography in the Differential Diagnosis of Jaundice , Surg Gynec Obstet 116:559, 1963. 2. Currin, J.B., Jr., et al: Comparative Value of Liver Biopsy and Percutaneous Cholangiography in the Diagnosis of Obstructive Jaundice , Southern Med J 58:839, 1965.Crossref 3. Glenn, F., et al: Percutaneous Transhepatic Cholangiography , Ann Surg 156:451, 1962.Crossref 4. Weichel, K.L.: Percutaneous Transhepatic Cholangiography , Acta Chir Scand 330 ( (suppl) ):1, 1964.

Journal

Archives of SurgeryAmerican Medical Association

Published: May 1, 1966

References