This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

George L. Juler, MD; Robert M. Conroy, MD; Robert W. Fuelleman, MD

Arch Surg. 1977;112(8):954-958.

Abstract
• Percutaneous transhepatic cholangiography (PTC) for jaundice of undetermined etiology was performed with the Chiba needle in 30 patients. Successful visualization of the biliary ductal system was accomplished in 26 patients (86.7%); two of six patients (33.3%) with normal biliary systems had ducts visualized, and the ducts were visualized in the 24 patients (100%) with obstruction. Bile leakage of 50 to 500 ml (average, 200 ml) was observed at laparotomy or autopsy in 12 patients (40%), nine (30%) of whom had symptoms of peritonitis. Six (20%) of these were transient and three (10%) progressed to an acute abdomen. Bacteremia occurred in seven patients (23.3%), in three (10%) it progressed to septic shock, with one death (3.3%). There were no complications in patients with nonobstructed ducts. This study suggests that PTC with the Chiba needle has little advantage over the larger sheathed needles, and surgical standby is indicated in suspected cases of obstructive jaundice.

(Arch Surg 112: 954-958, 1977)

Author Affiliations
From the Departments of Surgery (Dr Juler) and Radiology (Drs Conroy and Fuelleman), Veterans Administration Hospital, Long Beach, Calif, and the University of California, Irvine School of Medicine.

Footnotes
Accepted for publication Feb 22, 1977.

Read before the annual meeting of the Southern California Chapter of the American College of Surgeons, Palm Springs, Calif, Jan 16, 1977.

Reprint requests to 5901 E 7th St, Long Beach, CA 90822 (Dr Juler).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Relations Between Effectiveness of a Diagnostic Test, Prevalence of the Disease, and Percentages of Uninterpretable Results: An Example in the Diagnosis of Jaundice
Poynard et al.
Med Decis Making 1982;2:285-297.
 

Cholestatic Jaundice in Adults: Algorithms for Diagnosis
Fischer et al.
JAMA 1981;245:1945-1948.
ABSTRACT