JOHN RUSSELL TWISS, M.D., F.A.C.P.; R. FRANKLIN CARTER, M.D.; RICHARD HOTZ, M.D.
That it is now possible to determine biliary tract infection with considerable accuracy, without operation, has been proved by the correlated pre-operative and operative bacteriological findings in a series of 120 patients with chronic biliary tract disease. In each case a pre-operative duodenal drainage was performed under sterile precautions with the encapsulated Twiss duodenal tube,1 and the bacteriological findings of the duodenal bile were compared with those of specimens obtained from the biliary tract at operation. The findings were identical in such a large proportion of the cases studied that the use of this procedure as a diagnostic measure seems
TWISS JR, CARTER RF, HOTZ R. THE DETERMINATION OF BILIARY TRACT INFECTION WITH THE ENCAPSULATED DUODENAL TUBE1. Ann Intern Med. ;13:2104–2111. doi: 10.7326/0003-4819-13-11-2104
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Published: Ann Intern Med. 1940;13(11):2104-2111.
Biliary Disorders, Gastroenterology/Hepatology, Infectious Disease.
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