Conclusion
Patients with biliary tract disease should be prepared for possible operation on the common bile duct. There is little increase in morbidity when the common bile duct is examined directly in patients with obstructive jaundice, cholelithiasis and its complications, suspected tumor and in the post-cholecystectomy syndrome.
Improved results in patients with common bile duct disease have been due as much to preoperative diagnosis and management by the family physician and the non-procrastinating gastroenterologist as to improved knowledge and surgical skill.
Similar content being viewed by others
References
Bockus, H. L.: Gastroenterology. W. B. Saunders, Phil., 3, 762, 1946.
Orr, T. G.: Surgical treatment of carcinoma of pancreas and ampulla of Vater: analysis of 82 cases. Texas State J. Med. 42, 183, 1946.
Brunschwig, A.: Surgery of pancreatic tumors. C. V. Mosby. St. Louis, 1942.
Adams, R., and Stranahan, A.: Cholecystitis and cholelithiasis; an analytical review of 1104 operative cases. Surg., Gynec. and Obst. 83, 776, 1947.
Hunt, W. C. and Budd, J. W.: Transduodenal resection of ampulla of Vater for carcinoma of distal end of common duct with restoration of continuity of common and pancreatic ducts with duodenum. Surg. Gynec. and Obst. 60, 651, 1935.
Bisgard, J. D.: Pancreatitis as a cause for complete obstruction of the common duct. Ann. Surg. 124, 1009, 1946.
Behrend, M.: Diseases of the gall bladder and allied structures. F. A. Davis. Philadelphia, 1947.
Boyd, W.: Surgical pathology. Lea and Febiger, Philadelphia, 1942.
Callander, C. L.: Surgical anatomy. W. B. Saunders, Philadelphia, 1943.
Christopher, F.: Textbook in Surgery. W. B. Saunders, Philadelphia, 1943.
Grant, J. C. B.: Method of anatomy. Williams and Wilkins, Baltimore, 1945.
McGregor, A. L.: Synopsis of surgical anatomy. Williams and Wilkins, Baltimore, 1943.
Lewis, W. H.: Gray’s anatomy. Lea and Febiger, Philadelphia, 1942.
Morris, G.: Human anatomy, Blakiston, Philadelphia, 1942.
Piersol, G. A.: Human anatomy. Lippincott, Philadelphia, 1930.
Sobotta, J., and McMurrich, R.: Atlas of human anatomy. Steichert, New York, 1928.
Spalteholz, W.: Atlas of human anatomy. Lippincott, Philadelphia, 1937.
Boyden, E. A.: The sphincter of Oddi in man and mammals. Surg. 1, 25, 1937.
Dardinski, V. J.: The anatomy of the major duodenal papilla of man. Jour. Anat. 69, 469, 1935.
Dardinski, V. J.: Pathology of the major duodenal papilla. Am. Jour. Path. 7, 169, 1931.
Ivy, A. C.: Analysis of biliary dyskinesia. Am. J. Roentgen. 57, 1, 1947.
Rich, A. R. and Duff, G. L.: Experimental and pathological studies on pathogenesis of acute pancreatitis. Bull. John Hopkins Hosp. 58, 212, 1936.
Vater, A.: Dissertatio anatomica, qua novum bilis diverticulum et valvulosum colli vesicae fillae constructionem, etc., in Haller’s Disputationem anatomicarum selectarum, Gottinae, 1748, V. 3, 259, 1748,
Oddi, R.: D’une disposition a sphincter speciale de l’overture du canal choledoque. Arch. Ital. Biol. 8, 317, 1887.
Zawisch-Ossenitz, C.: Histologic examination after artificial dilatation of Vater’s papilla. Zentralblatt f. Chir. 55, 1868, 1928.
Sterling, J. A.: Diverticula in the terminal portion of the common bile duct. Am. Jour. Path. 25, 39, 1949.
Luce, T.: Gallstone ileus. Ann. Surg., 74,86, 1947.
Dobbie, R. F.: Failures in surgery of the biliary tract. N. Y. State J. Med. 45, 882, 1945.
Moore, M. T.: Some usual and some unusual mechanisms of abdominal pain. Southern Med. and Surg. 108, 135, 1946.
Pribram, B. D. C.: Ether treatment of gall stones impacted in common duct. Lancet, 1, 1311, 1939.
Peikoff, S. S.: Post-cholecystectomy syndrome. Manitoba Med. Rev. 26, 69, 1946.
Author information
Authors and Affiliations
Additional information
(Read before the Northern Branch of the County Medical Society, Philadelphia, March 22, 1948).
Rights and permissions
About this article
Cite this article
Sterling, J.A. Surgical considerations of choledocholithiasis. A. J. D. D. 16, 84–88 (1949). https://doi.org/10.1007/BF03001234
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF03001234