Opacifying Gallstones

Salzman, Emanuel

doi:10.1001/jama.1959.03000210028007

JAMA

1959

DOI: 10.1001/jama.1959.03000210028007

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Opacifying Gallstones

Emanuel Salzman¹

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1960

1976

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Cited by 8 publications

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“…We have reported surgically proved cases of opacifying gallstones 2,3 with experimental reproduction of the phenomenon. 3,4 The condition of prolonged exposure of the biliary calculi to cholecystographic contrast medium is fulfilled with the "four\x=req-\ day Telepaque test." The patient is placed on a four-day regimen of 3 gm.…”

mentioning

confidence: 99%

Opacifying Gallstones

Watkins¹,

Salzman²

1960

AMA Arch Surg

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mentioning

confidence: 99%

Opacifying Gallstones

Watkins¹,

Salzman²

1960

AMA Arch Surg

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“…In November 1969 he was readmitted to the Royal Free Hospital when the serum bilirubin level was 2-5 (conjugated 2.0 mg per 100 ml), aspartate transaminase 6 IU per litre, and serum cholesterol 240 mg per 100 ml. A fourday telepaque cholecystogram (Salzman, Spurck, Kier, and Watkins, 1959;Lloyd, 1960) was done after attempts to see the biliary system with an oral cholecystogram and an intravenous cholangiogram, using standard techniques, had failed. The biliary tree was faintly visualized and appeared normal.…”

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confidence: 99%

A case of the Dubin-Johnson syndrome complicated by acute hepatitis

Varma¹,

Grainger²,

Scheuer³

1970

Gut

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Comparative evaluation of preoperative and operative radiology in biliary-tract disease

Grundy¹,

King²,

Lloyd³

1972

Journal of British Surgery

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In 100 consecutive patients with an abnormal cholecystogram a study was carried out to compare the value of the 4‐day Telepaque test, intravenous cholangiography, and operative cholangiography. Of the 100 patients, 87 were shown at operation to have stones in the gall‐bladder and 22 to have stones in the common bile‐duct. In 4 of the latter patients, stones were absent from the gall‐bladder. Operative cholangiography was the most accurate investigation in the diagnosis of a stone in the common duct; the operative cholangiogram gave definite evidence of stones in the duct in 20 of the patients, and was abnormal in some respect in all of the patients with a stone in the common duct. It is concluded that this investigation should be performed on all patients undergoing cholecystectomy. The 4‐day Telepaque test demonstrated stones in the gall‐bladder in 30 per cent of the patients with a non‐functioning gall‐bladder on oral cholecystography, thus materially improving the diagnosis of gall‐bladder stones preoperatively. Of duct stones, however, only 32 per cent were shown by the 4‐day Telepaque test, and 59 per cent were demonstrated by intravenous cholangiography. In view of the risk associated with Biligrafin, and to a lesser extent with large doses of Telepaque, it is concluded that neither of these tests is desirable prior to cholecystectomy in the good‐risk patient, provided that a satisfactory technique of operative cholangiography is used. They should be reserved for the poor‐risk patient, when the presence or absence of duct stones may influence the decision to operate.

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Opacifying Gallstones

Cited by 8 publications

References 0 publications

Opacifying Gallstones

Opacifying Gallstones

A case of the Dubin-Johnson syndrome complicated by acute hepatitis

Comparative evaluation of preoperative and operative radiology in biliary-tract disease

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