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THE PATHOLOGIC PHYSIOLOGY OF THE COMMON BILE DUCT

THE PATHOLOGIC PHYSIOLOGY OF THE COMMON BILE DUCT In the past three years we have been aided in our studies of the pathologic physiology of the biliary tract associated with surgical lesions by being able to visualize the common and hepatic ducts under the fluoroscope and by roentgenographic studies after injection into the common duct through a T tube of nonirritating substances which are opaque to roentgen rays.1 Briefly stated, the choledochograms so obtained will reveal the presence of (1) any narrowing of the common bile duct and persisting pancreatitis, with an abnormally patent duct of Wirsung, (2) an overlooked stone in the common bile duct, (3) spasm or stenosis of the sphincter of Oddi, and (4) carcinoma of the ampulla of Vater or of the head of the pancreas. In an effort to determine the influence of the sphincter of Oddi in this respect, studies of the pressure within the common duct were carried out in http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

THE PATHOLOGIC PHYSIOLOGY OF THE COMMON BILE DUCT

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References (5)

Publisher
American Medical Association
Copyright
Copyright © 1937 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1937.02780460001001
Publisher site
See Article on Publisher Site

Abstract

In the past three years we have been aided in our studies of the pathologic physiology of the biliary tract associated with surgical lesions by being able to visualize the common and hepatic ducts under the fluoroscope and by roentgenographic studies after injection into the common duct through a T tube of nonirritating substances which are opaque to roentgen rays.1 Briefly stated, the choledochograms so obtained will reveal the presence of (1) any narrowing of the common bile duct and persisting pancreatitis, with an abnormally patent duct of Wirsung, (2) an overlooked stone in the common bile duct, (3) spasm or stenosis of the sphincter of Oddi, and (4) carcinoma of the ampulla of Vater or of the head of the pancreas. In an effort to determine the influence of the sphincter of Oddi in this respect, studies of the pressure within the common duct were carried out in

Journal

JAMA – American Medical Association

Published: Nov 13, 1937

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