Percutaneous transhepatic cholangiography.

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چکیده

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Percutaneous transhepatic cholangiography.

Chemical and histological studies are often unable to differentiate chronic extrahepatic obstructive jaundice (due to calculi, neoplasia, or stricture) from chronic intrahepatic obstructive jaundice (caused by primary biliary cirrhosis or by drugs, notably anabolic steroids and phenothiazine derivatives). Oral and intravenous cholangiography are also ineffective when the serum bilirubin is grea...

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This is an evaluation of percutaneous transhepatic cholangiography, a technique of over eight years' standing, previously considered by many authorities as both unrewarding and dangerous. The value and risks of the procedure have been examined in 20 patients with obstructive jaundice of uncertain origin and in one further patient with a post-cholecystectomy syndrome. The presence and the nature...

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A detailed history, a thorough physical examination, and the appropriate liver function tests are all helpful in differentiating intra-hepatic (medical) or extra-hepatic (surgical) jaundice in a large proportion of patients. In the more difficult cases, recourse to the use of ultrasonography may be indicated; 1,2,3 endoscopic retrograde cholangiopancreatography in skilled hands has a high succe...

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THE membership of the Society of Interventional Radiology (SIR) Standards of Practice Committee represents experts in a broad spectrum of interventional procedures from both the private and academic sectors of medicine. Generally Standards of Practice Committee members dedicate the vast majority of their professional time to performing interventional procedures; as such they represent a valid b...

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ژورنال

عنوان ژورنال: BMJ

سال: 1976

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.2.6047.1321-a