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An Experimental Study

CHARLES K. KIRBY, M.D.; WILLIAM T. FITTS, Jr., M.D.

Arch Surg. 1950;61(3):462-468.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

STRICTURES of the bile ducts remain a serious surgical problem. Despite the numerous reconstructive procedures that have been tried,¹ many patients eventually succumb with recurrence of the stricture, repeated attacks of cholangiohepatitis and progressive damage to the liver.

End to end suture of the divided ends of the bile ducts, if performed without undue tension, has given the best results. Unfortunately this procedure is not always possible, particularly when long segments of the ducts have been destroyed or when the defect extends into the hilus of the liver. By mobilizing the duodenum and, when necessary, splitting the head of the pancreas for identification of the distal duct, Lahey² and Cattell³ have extended the scope of primary anastomosis of the duct ends. When this method is not feasible, one must choose between preserving the sphincter of Oddi by bridging the defect and by-passing the sphincter of Oddi by . . . [Full Text PDF of this Article]

Author Affiliations
PHILADELPHIA

From the Harrison Department of Surgical Research, School of Medicine, University of Pennsylvania.

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