J. PINTO CORREIA, M.D.; ERMELINDA CAMILO, M.D.; A. GARGATÉ, M.D.
To the editor: "Skinny"-needle percutaneous transhepatic cholangiography seems to come to age in the diagnosis of cholestatic jaundice. The recent paper by Pereiras and associates (1) shows admirable results in 131 patients. They certainly have the best published success in cases of intrahepatic cholestasis with nondilated ducts, 96% good visualization achieved with up to seven passes through the liver but no greater morbidity. We have used this procedure for the last 2 years in 150 cases, all with biochemical evidence of cholestasis. We follow the same technique of Okuda and colleagues (2) but can rarely withdraw bile through the needle,
CORREIA JP, CAMILO E, GARGATÉ A. Thin-Needle Cholangiography. Ann Intern Med. ;87:634. doi: 10.7326/0003-4819-87-5-634_2
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Published: Ann Intern Med. 1977;87(5):634.
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