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  • Citing articles on Web of Science (22)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

CHRISTOPHER T. DRAKE, MD; JOHN M. BEAL, MD

AMA Arch Surg. 1965;91(4):558-563.

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

AN ACCURATE diagnosis may be difficult to establish in patients who have jaundice. Clinical features and laboratory findings may frequently be inconclusive. Radiologic study of the biliary tract is un-satisfactory when the serum bilirubin level is elevated.

Because of the uncertainty of diagnosis, some patients with obstructive jaundice are subjected to prolonged periods of observation with the erroneous diagnosis of hepatitis, or patients with hepatocellular damage may undergo an undesirable exploratory laparotomy. Zollinger reported a 16% error in the diagnosis of posthepatic jaundice, also that 6.4% of his patients with intrahepatic jaundice were subjected to laparotomy.²⁸

In 1921, Burkhardt and Müller proposed the percutaneous route to cholecystography by injection of radiopaque material directly into the gallbladder.⁴ The subsequent introduction of oral cholecystography resulted in lack of interest in this particular approach.¹¹ More recently, Lee, Keil and others have used peritoneoscopic cholangiography, but this approach has not been . . . [Full Text PDF of this Article]

Author Affiliations
CHICAGO

From the Department of Surgery, Northwestern University Medical School.

Footnotes
Submitted for publication May 1, 1965.

Reprint requests to 303 E Chicago Ave, Chicago, Ill 60611 (Dr. Beal).

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