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Study of Influence Using Activated Enzymes

JOHN J. FOLEY, MD; EDWIN H. ELLISON, MD

AMA Arch Surg. 1964;88(4):589-595.

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

Jaundice as seen in acute cholecystitis need not always result from common duct stone. As a matter of fact, a number of clinical studies indicate that jaundice occurs in over 30% of patients with acute cholecystitis, yet the incidence of common duct stone in these circumstances usually does not exceed 10% to 15%.^1,2

During a three-year period, beginning July 1, 1960, through June 30, 1963, forty-four patients were operated upon for acute cholecystitis at the Milwaukee County General Hospital. Ten of the 44 patients proved to have associated common duct stones. The serum bilirubin had been determined preoperatively in 22 of the remaining 34 patients and was increased over the normal of 1.0 mg% in 17, or in half of those patients not harboring a common duct stone. This finding gives further support to the often expressed clinical impression that jaundice frequently occurs in patients with acute cholecystitis in . . . [Full Text PDF of this Article]

Author Affiliations
MILWAUKEE

From the Division of Surgery, Marquette University School of Medicine, the Allen-Bradley Medical Science Laboratory, and the Surgical Service, Milwaukee County General Hospital.

Footnotes
Read before the 71st Annual Session of the Western Surgical Association, Galveston, Tex, Nov 21-23, 1963.

This study was supported by USPHS grant No. C-4150.

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