Non operative Internal Drainage of Obstructive Common Bile Ducts

Authors:
  • MOMagne Osnes
    Magne Osnes
  • OGOdd Geiran
    Odd Geiran
  • KGKnut Grönoeth
    Knut Grönoeth
  • ØHØyvind Havig
    Øyvind Havig

Abstract
• A new nonoperative method for internal drainage of common bile duct obstructions by endoscopic retrograde cannulation of the papilla of Vater is described. After introduction of a tube in the common bile duct, a substantial decrease in serum activity of bilirubin, alkaline phosphatase, and γ-glutamyl transferase was found. In addition, a rapid improvement of the clinical condition could be observed. No serious complications occurred. It is concluded that internal drainage of common bile duct obstructions might be of great value in the preoperative treatment of patients with common bile duct obstructions. (Arch Surg 114:862-865, 1979)

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