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Strictures of the Common and Hepatic Bile Duels: A Study of More Than Four Hundred Operations, with One- to Twenty-Five-Year Follow-Up

Strictures of the Common and Hepatic Bile Duels: A Study of More Than Four Hundred Operations,... Abstract In the past 34 years, up to Nov. 4, 1958, the senior author (W. W.) has operated on 429 patients with stricture of the common and hepatic bile ducts. Over the years repeated follow-up studies have been made by questionnaires or reexamination in the year of the study of the patients who survived operation. These have shown that 70% to 75% of the patients had continuing relief of biliary obstruction without recurrence of intrahepatic infection unless contraction of the anastomosis occurred. Eight months ago (Feb. 13, 1958) we sent out questionnaires to the group who had undergone operation in the 10 years from 1943 through 1952, thus allowing an interval of at least 5 years between the operation and the study. Then we decided to see what the long-term results were; so we extended the date of inquiry an additional 10 years, from 1933 through 1942, thus making the follow-up References 1. Hepaticostomies and miscellaneous operations are excluded. 2. A poor result followed a right hepaticoduodenostomy in one case. 3. These do not include the hepaticostomies. 4. The Mayo-Sullivan tube had to be surgically removed at a later date, and the anastomosis was found to be satisfactorily patent. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Strictures of the Common and Hepatic Bile Duels: A Study of More Than Four Hundred Operations, with One- to Twenty-Five-Year Follow-Up

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Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1959.04320060096013
Publisher site
See Article on Publisher Site

Abstract

Abstract In the past 34 years, up to Nov. 4, 1958, the senior author (W. W.) has operated on 429 patients with stricture of the common and hepatic bile ducts. Over the years repeated follow-up studies have been made by questionnaires or reexamination in the year of the study of the patients who survived operation. These have shown that 70% to 75% of the patients had continuing relief of biliary obstruction without recurrence of intrahepatic infection unless contraction of the anastomosis occurred. Eight months ago (Feb. 13, 1958) we sent out questionnaires to the group who had undergone operation in the 10 years from 1943 through 1952, thus allowing an interval of at least 5 years between the operation and the study. Then we decided to see what the long-term results were; so we extended the date of inquiry an additional 10 years, from 1933 through 1942, thus making the follow-up References 1. Hepaticostomies and miscellaneous operations are excluded. 2. A poor result followed a right hepaticoduodenostomy in one case. 3. These do not include the hepaticostomies. 4. The Mayo-Sullivan tube had to be surgically removed at a later date, and the anastomosis was found to be satisfactorily patent.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Jun 1, 1959

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