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Results of the Oral Method in Cholecystography

Results of the Oral Method in Cholecystography Results of the Oral Method in Cholecystography 1 Joseph Aspray , M.D. Spokane, Washington ↵ 1 Presented before the Radiological Society of North America, at the Thirteenth Annual Meeting, at New Orleans, Dec. 1, 1927. This paper is part of the Symposium on Cholecystography, other papers in which were published in Radiology , July, 1928, XI, 1–71. Excerpt WE began to do cholecystography by the oral method in August, 1925. At first we used tablets containing the dye. These were discarded because of lack of complete solubility. We then began the use of Kerasol capsules, which we have used continuously except for two unsuccessful attempts to use other products. Our results have been so satisfactory that we seldom use the intravenous method. We find that we can somewhat vary the method of taking the capsules without any appreciable difference in the end-results. The evening before the radiographs are to be made the following method is usually used: A dose of bicarbonate of soda preceding the first dose of Kerasol, then two Kerasol capsules every fifteen or thirty minutes until six or eight have been taken. While taking the dye and up to midnight the drinking of plenty of water is encouraged. Nothing is allowed by mouth after this until the 14-and 16-hour films have been made. Then a meal rich in fats (as bacon and eggs, milk, and buttered toast) is eaten, after which the third set of radiographs is made, but not sooner than two and a half or three hours following the meal. In irritable gastric cases the capsules are given one at a time every fifteen or thirty minutes, and, in exceptional cases, one every hour. This has overcome practically all nausea and vomiting. In cases in which the bowels are naturally easily moved we give one or two previous doses of codeine ½ grain. This is given two or four hours before taking the dye. We have found in all cases in which there were evidences of considerable dye in the hepatic flexure region of the colon, that cholecystography proved satisfactory. Our opinions have been gained through the use of the oral method in 498 cases, from August, 1925, to November 15, 1927. Because of failure to keep complete records of the first 90 cases done, we can report the effects on the gastro-intestinal tract of only 408 out of the 498 cases. Of these 408 cases, 366 did not vomit; 36 did vomit; 6 had severe vomiting. Of the 408 cases, 318 did not have bowel movements: 59 had slight movements; 15 had slight diarrhea, and 16 had diarrhea. All cases having diarrhea, that did not show a gall-bladder shadow, were satisfactorily re-examined after using a small amount of codeine. A few of the cases had satisfactorily filled gall bladders in spite of diarrhea without the use of the codeine. Copyrighted by the Radiological Society of North America http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Radiology Radiological Society of North America, Inc.

Results of the Oral Method in Cholecystography

Radiology , Volume 11 (2): 99 – Aug 1, 1928

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Publisher
Radiological Society of North America, Inc.
Copyright
Copyright © 1928 by Radiological Society of North America
ISSN
1527-1315
eISSN
0033-8419
DOI
10.1148/11.2.99
Publisher site
See Article on Publisher Site

Abstract

Results of the Oral Method in Cholecystography 1 Joseph Aspray , M.D. Spokane, Washington ↵ 1 Presented before the Radiological Society of North America, at the Thirteenth Annual Meeting, at New Orleans, Dec. 1, 1927. This paper is part of the Symposium on Cholecystography, other papers in which were published in Radiology , July, 1928, XI, 1–71. Excerpt WE began to do cholecystography by the oral method in August, 1925. At first we used tablets containing the dye. These were discarded because of lack of complete solubility. We then began the use of Kerasol capsules, which we have used continuously except for two unsuccessful attempts to use other products. Our results have been so satisfactory that we seldom use the intravenous method. We find that we can somewhat vary the method of taking the capsules without any appreciable difference in the end-results. The evening before the radiographs are to be made the following method is usually used: A dose of bicarbonate of soda preceding the first dose of Kerasol, then two Kerasol capsules every fifteen or thirty minutes until six or eight have been taken. While taking the dye and up to midnight the drinking of plenty of water is encouraged. Nothing is allowed by mouth after this until the 14-and 16-hour films have been made. Then a meal rich in fats (as bacon and eggs, milk, and buttered toast) is eaten, after which the third set of radiographs is made, but not sooner than two and a half or three hours following the meal. In irritable gastric cases the capsules are given one at a time every fifteen or thirty minutes, and, in exceptional cases, one every hour. This has overcome practically all nausea and vomiting. In cases in which the bowels are naturally easily moved we give one or two previous doses of codeine ½ grain. This is given two or four hours before taking the dye. We have found in all cases in which there were evidences of considerable dye in the hepatic flexure region of the colon, that cholecystography proved satisfactory. Our opinions have been gained through the use of the oral method in 498 cases, from August, 1925, to November 15, 1927. Because of failure to keep complete records of the first 90 cases done, we can report the effects on the gastro-intestinal tract of only 408 out of the 498 cases. Of these 408 cases, 366 did not vomit; 36 did vomit; 6 had severe vomiting. Of the 408 cases, 318 did not have bowel movements: 59 had slight movements; 15 had slight diarrhea, and 16 had diarrhea. All cases having diarrhea, that did not show a gall-bladder shadow, were satisfactorily re-examined after using a small amount of codeine. A few of the cases had satisfactorily filled gall bladders in spite of diarrhea without the use of the codeine. Copyrighted by the Radiological Society of North America

Journal

RadiologyRadiological Society of North America, Inc.

Published: Aug 1, 1928

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