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PRE‐OPERATIVE TREATMENT OF BILIARY OBSTRUCTION
Author(s) -
Wright R. Douglas
Publication year - 1933
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1933.tb02585.x
Subject(s) - medicine , jaundice , gastroenterology , bile duct , general surgery
S ummary 1. Reasons for a method of pre‐operative treatment of complete biliary obstruction are given. 2. The administration of 4.8 grammes (80 grains) of bile coated with salol, at each meal, wherein a high proportion of fat is included, is suggested. 3. The result of this in one instance was a rise in blood fat and a fall in the faecal f a t and a general improvement in the patient's condition. 4. A suggestion is made that this form of therapeusis may be of use in cases of calcnlous obstruction as well as in cases of jaundice due to injury to the common duct. It is, however, realized that it will not replace other methods, but must be adjuvant t o them. 5. It demonstrates that there is a fruitful field for research in regard to the metabolism in biliary obstruction, for example, as to the effect of bile administration on the blood calcium, the carbohydrate metabolism in the case of a damaged liver, the urinary output of bile salts and pigment. An attempt is being made to elucidate these and other problems.