Cholangiography in the Jaundiced Patient

Overview

Journal Gut

Specialty Gastroenterology

Date 1976 Oct 1

PMID 137181

Citations 13

Authors

E Elias

Affiliations

Soon will be listed here.

Abstract

Though local practice will reflect the previously acquired expertise of the operators, it seems reasonable to employ a minimum of percutaneous transhepatic cholangiography, and, ideally, this in combination with ERCP for preoperative cholangiography in patients with cholestatic jaundice. Few cases will defy both techniques. The morbidity is well known and if properly anticipated can be reduced to a minimum by judicious use of antibacterial agents and early surgical intervention when appropriate. Grey-scale ultrasonography by indicating the diameter of the bile ducts enables one to select percutaneous transhepatic cholangiography for dilated ducts and ERCP for non-dilated ducts with an almost 100% success rate for the former and only slightly less for the latter in experienced hands.

Citing Articles

Acute cholangitis.

Boey J, Way L Ann Surg. 1980; 191(3):264-70.

PMID: 7362292 PMC: 1344694. DOI: 10.1097/00000658-198003000-00002.

Combined approach to the differential diagnosis of cholestatic jaundice with endoscopic retrograde cholangiopancreatography, percutaneous transhepatic cholangiography, ultrasonography, and liver biopsy.

Camilo E, Grima N, Cardoso A, Baptista A, Gargate A, Ribeiro J Gastrointest Radiol. 1981; 6(2):177-83.

PMID: 7250633 DOI: 10.1007/BF01890246.

Hepatobiliary imaging using Tc-pyridoxylideneglutamate in the diagnosis of obstructive jaundice.

Clarke D, Sharp P, Brunt P, Mowat N, Dascombe G, Smith F Eur J Nucl Med. 1982; 7(8):370-5.

PMID: 7117279 DOI: 10.1007/BF00255656.

Transhepatic cholangiography in patients with suspected biliary disease and nondilated intrahepatic bile ducts.

Teplick S, Flick P, Brandon J Gastrointest Radiol. 1991; 16(3):193-7.

PMID: 1879632 DOI: 10.1007/BF01887344.

Percutaneous transhipatic cholangiography.

Hinde G, Smith P Br Med J. 1976; 2(6051):1561.

PMID: 1009400 PMC: 1690162. DOI: 10.1136/bmj.2.6051.1561-a.

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