ROBERT P. YATTO, M.D.; JEROME H. SIEGEL, M.D.
To the editor: Richter and coworkers (1) begin their analysis of diagnostic strategies in cholestasis by stating, "A thorough evaluation of patients with suspected obstructive or cholestatic jaundice is needed to select appropriate treatment." Although the author's analysis of the various imaging techniques available is admirable, advances in interventional radiology and endoscopy have made appropriate treatment of cholestasis an integral part of the diagnostic process (2). Biliary decompression techniques used as adjuncts to direct cholangiography eliminate the barriers between surgical and medical jaundice, and must therefore be incorporated into the approach to the jaundiced patient (3).
The value of biliary
YATTO RP, SIEGEL JH. Obstructive Jaundice. Ann Intern Med. ;100:318. doi: 10.7326/0003-4819-100-2-318_1
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Published: Ann Intern Med. 1984;100(2):318.
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